Patient Therapy Review (PTR): Reasons for Stopping

Instructions:
We would like to know something about your reasons for stopping therapy. Please answer the questions below.

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Web ID:
(please use the code you were provided)

1. What kind of decision led to stopping the therapy?
  My decision alone, and my decision was not discussed with my therapist      
  My decision alone, and my therapist thought it was not a good idea      
  My decision and my therapist thought it was a reasonable idea      
  My decision and my therapist remained neutral      
  Mutual decision      
  My therapist was leaving the agency      
 
2. Did you have reasons for stopping that were unrelated to therapy (e.g. finances, leaving town)?
  Yes            
  No            
  a. If you answered “yes”, what was your most important reason?
    Finances      
    Leaving Town      
    Other (Please specify below)      
           
 
3. If you answered “no”, what was the most important reason for stopping?
  I felt that I had finished my work in therapy      
  I felt that I had gone as far as I could with my particular therapist      
  I felt able to cope without therapy      
  I felt that this was the wrong time to continue with therapy      
  Other (Please specify below)      
           
 

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