End-Of-Session Questionnaire (Seeking Safety)

Session Information

Please be honest about your view of today's session, so that the treatment can be made as helpful as possible. Answer questions 1 - 8 using the following scale: 0 Not at all; 1 A little; 2 Moderately; 3 A great deal

Layout

Session Topic

Date

1 How helpful was today's session for you, overall?

0 Not at all
1 A little
2 Moderately
3 A great deal

2 In today's session, how helpful was the topic of the session?

0 Not at all
1 A little
2 Moderately
3 A great deal

3 In today's session, how helpful was the handout?

0 Not at all
1 A little
2 Moderately
3 A great deal

4 In today's session, how helpful was the quote?

0 Not at all
1 A little
2 Moderately
3 A great deal

5 In today's session, how helpful was the therapist?

0 Not at all
1 A little
2 Moderately
3 A great deal

6 How much did today's session help you with your PTSD?

0 Not at all
1 A little
2 Moderately
3 A great deal

7 How much did today's session help you with your substance use?

0 Not at all
1 A little
2 Moderately
3 A great deal

8 How much do you think you''ll use what you learned in today's session in your life?

0 Not at all
1 A little
2 Moderately
3 A great deal

Reflection

Do you have any other comments or suggestions about today's session? Please be honest about both positive and negative reactions.

Positive Reactions

Negative Reactions

How could this treatment be more helpful to you?

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