Gestalt Institute Phoenix

NEEDS ASSESMENT SURVEY

In order for the Gestalt Institute of Phoenix to provide programs which better meet the needs of the mental health community, we would appreciate a response to the following survey.

Check any of the following program ideas which interest you:

Gestalt individual therapy
Gestalt group therapy
Gestalt therapy for couples
Gestalt dream work
Gestalt therapy for families
Gestalt therapy theory
Gestalt therapy for children

What other topic areas do you suggest?

What time / length / location preferences do you have?

Time of year

Length of time

Location

Other

Additional Comments

Name