Which Therapist did you contact?


1) Initial Contact with The Relationship Center and Referral Network: Was the Website and Therapist Directory Informative and Easy to Use?
   Yes No Didn't Use the Web Directory
  Comments:

2) If you called The Gottman Institute, did you get the information you needed to contact a Certified Gottman Therapist in your area?
    Yes No Didn't Call The Gottman Institute
  Comments:

Please respond to each of the following questions by clicking on the number that corresponds to the following scale:

1 = Not true at all    2 = Somewhat True    3 = True    4 = Very True  5 = Definitely True

Initial Phone Contact with Clinician:

The Gottman clinician called me within two business days.
1 2 3 4 5

The clinician displayed an appropriate professional demeanor on the telephone and sounded knowledgeable. I felt reassured that I would receive competent help after my phone conversation with the clinician.
1 2 3 4 5

My phone conversation helped me begin to feel that the therapist was somebody that I could trust.
1 2 3 4 5

After speaking with the therapist, I felt some hope that my relationship might improve with therapy.
1 2 3 4 5

The Assessment Process (1st three sessions):

The clinician clearly explained the Assessment process.
1 2 3 4 5

The therapist explained our Assessment results clearly and competently, and I understood them.
1 2 3 4 5

During my Assessment, the therapist defined the goals of our therapy and the steps we'd need to take to achieve them.
1 2 3 4 5

By the end of the Assessment process, I felt like our therapist fundamentally understood me and the problems in our relationship.
1 2 3 4 5

The Interventions:

The therapist conveyed sensitivity and empathy during our clinical sessions.
1 2 3 4 5

The interventions used by the therapist related to the problems we were raising during each session.
1 2 3 4 5

The therapy improved our relationship at home outside of the sessions.
1 2 3 4 5

The therapist helped me learn the skills needed to better manage conflict.
1 2 3 4 5

The therapist helped us deepen our friendship.
1 2 3 4 5

The therapist helped us improve our physical intimacy.
1 2 3 4 5

The therapist helped us improve our emotional intimacy.
1 2 3 4 5

The therapist helped me understand my partner at a deeper level.
1 2 3 4 5

If you had trouble with the 4 Horsemen before therapy, the therapist helped us decrease the presence of the 4 Horsemen in our relationship. (Note: The 4 Horsemen are: Criticism, Contempt, Defensiveness, Stonewalling)
1 2 3 4 5

If flooding was a problem, the therapist helped me learn methods of self-soothing and how to make repairs in order to decrease the negative effects of flooding.
1 2 3 4 5

The therapist helped us increase the expression of fondness and appreciation in our relationship.
1 2 3 4 5

The therapist taught me how to use softened start-up when bringing up a problem, and I use softened start-up now.
1 2 3 4 5

The therapist helped us develop a plan for honoring each others dreams.
1 2 3 4 5

I feel that I better understand most of what my partner values and what gives my partner's life meaning.
1 2 3 4 5