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Complementary Therapy Evaluation Form (Parents/Carers)

Please choose from the drop down options where 1 = very unhappy and 5 = very happy
Please choose from the drop down options where 1 = very negative and 5 = very positive
Please choose from the drop down options where 1 = very unclearly and 5 = very clearly

Complementary Therapy Sessions

Please choose from the drop down options where 1 = very low and 5 = very high
Please choose from the drop down options where 1 = very low and 5 = very high
Please choose from the drop down options where 1 = very little and 5 = very much
Please choose from the drop down options where 1 = very unhappy and 5 = very happy
Please choose from the drop down options where 1 = very unhappy and 5 = very happy

After the support ended

Please choose from the drop down options where 1 = very unhappy and 5 = very happy

Your details (optional)

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