FFT Family Self Report

FFT Family Self Report (rev 20201020)

  • Functional Family Therapy

    Family Self Report

      We know that the process of talking with outsiders about your life, your hopes, and your challenges can be difficult and stressful. We also know that if we do our job well then you have a better chance of experiencing great benefits. So, we need to know how you feel we are doing. Your feelings, whether positive or negative or mixed, count and will make a difference. We hope you will give us feedback that can help us better serve your family and others. Thank you.
  • Date Format: MM slash DD slash YYYY
  • Please use the scale below that best describes your experience

    • 1-2: Very Bad
      2-3: Mostly bad
      4-5: So so
      5-6: Mostly good
      6-7: Very Good
    • 1-2: Very Bad
      2-3: Mostly bad
      4-5: So so
      5-6: Mostly good
      6-7: Very Good
    • 1-2: Not confident
      2-3: I'm doubtful
      4-5: I'm unsure
      5-6: I'm hopeful
      6-7: I'm very confident
    • 1-2: I strongly disapprove
      2-3: Disapprove
      4-5: I have mixed feelings
      5-6: Approve
      6-7: Strongly approve
    • 1-2: Not at all
      2-3: Mostly negative
      4-5: I have mixed feelings
      5-6: Mostly positive
      6-7: Very positive
    • 1-2: Not at all
      2-3: Not much
      4-5:I have mixed feelings
      5-6: I trust a lot
      6-7: I have total trust
    • 1-2: Not at all
      2-3: Not much
      4-5: Unsure
      5-6:Quite a bit
      6-7:A lot
  • Please click SUBMIT when completed