This survey is meant to be completed after each session. As with all client information, your responses will be kept strictly confidential. We will need some type of identifier to match your responses with your case that we have on file. This identifier could be your case ID number (you'll find it on your invoice) or the time of your last session, or you could use the first three letters of your last name and first initial (include middle initial if your spouse has same first initial as you), or some other identifier you have pre-arranged with your therapist.
You are also free to complete this survey by hardcopy if you prefer. If you choose the hardcopy option instead, you can fax your completed survey to us at (403) 255-8570 (confidential fax) or bring it with you to your next session.
This survey should take about 2-3 minutes to complete. Not every field has to be filled out, but you will need to finish what you intend to submit in one sitting as you cannot save a partially completed form and come back to it later to continue working on it. If you want to keep a copy for your own records, please print this page on your browser before you submit the survey.
Direct billing to your insurance company may be available. Please check with our front desk staff.
Watch Our Brief Step-Parenting Segments on Global Morning News
These brief 3-minute videos featuring Diane Gibson, of Cobb & Associates Inc. aired on Monday March 17, 2014 and Monday September 22, 2014 on Global Morning News. Click below to see what Diane has to say on the topic of step-parenting and bonding with a step-child.