Client Reflection Survey

This survey explores experiences, beliefs, and patterns that may affect your progress toward your goals. Your responses will help guide our work together and identify areas where support may be helpful. Before beginning, please enter your name and email address and review the directions below.

Your reflection profile

Scores describe your responses, not diagnoses. There is no overall score or validated cutoff. Higher averages indicate greater agreement with the statements. Each area's average is the sum of answered ratings divided by the number answered. Strongly disagree = 1, Disagree = 2, Neutral = 3, Agree = 4, Strongly agree = 5. Blank responses are excluded. Items rated 4 or 5 may be useful discussion prompts.