Submit Your Feedback for Your Gottman-trained Therapist

Because we are committed to maintaining the highest ethical and professional standards in the therapists who participate in the Gottman Referral Network, we welcome and appreciate feedback on your experience with your therapist. When you complete the evaluation form you help ensure that others continue to benefit from effective and reliable counseling services. Thank you for your time and effort in completing this evaluation.

Therapists who chose to be listed on the Gottman Referral Network are all licensed or certified therapists who practice independently in their state, province, or country and are not supervised or monitored by Drs. John or Julie Gottman or The Gottman Institute. However, each has been specifically trained by Drs. John and Julie Gottman or a Certified Gottman Trainer to provide Gottman Method Couples Therapy.

Your comments are completely anonymous and will be emailed to Dr. Cole, the Clinical Director of The Gottman Institute. Please note that email is not considered secure under federal HIPAA privacy rules. As long as you understand this, and give your consent, you are free to submit the evaluation below. If you would prefer to leave a phone message instead, please call (425) 640-5104 ext 6.

  • The Assessment Process:

    State the approximate extent of agreement or disagreement on the following items.
  • Interventions:

  • About the Therapist:

  • Additional Details:

  • This field is for validation purposes and should be left unchanged.