Wellness Journey Review

Now that your treatment package is complete, this review is your chance to reflect on how far you have come. Your answers are self-assessments in your own words — your therapist will read them and use them to plan what comes next. Please take your time.

Section 1 — Your Package

Your name:

Package or program name:

Number of sessions you attended:

Date of this review:

Section 2 — Your Goals, Then & Now

When you started, what did you most hope this package would help with?

Looking back now, how much progress do you feel you made toward that goal?

More than I hoped for

About what I hoped for

Some progress, but not as much as I wanted

Little or no change so far

Section 3 — How You Feel Now

For each area, rate where you are today on a scale of 1 (much worse) to 5 (much better) compared with when you started. Enter a number in the box.

Describe the biggest change you have noticed in your own words:

Section 4 — Your Experience

Which parts of the package worked best for you?

Was there anything that did not suit you, or that you would change?

How well did the home-care advice fit into your daily routine?

I followed it closely

I followed some of it

I found it hard to keep up — I would like simpler advice

Section 5 — Where To Next

What would you like to work on in your next package?

I would like to continue with a new package

I would like to switch to occasional single visits

I would like a recommendation from my therapist

Ideal date for your next visit:

Section 6 — Confirmation & Sign-Off

The ratings and comments above are my own honest self-assessment.

I am happy for my therapist to use this review to plan my future care.

Client — printed name:

Date:

Therapist — printed name (on review with you):

Date:

Thank you for sharing your journey with us. We look forward to the next chapter of your wellbeing.