 In recent years, there has been a rapid rise in the use of outcome and feedback measures in the counselling and psychotherapy field. In part, this is because evidence suggests that the systematic collection and integration of client feedback improves outcome across client populations, professional discipline, and model used. In a meta-analysis of five trials comparing use of a routine feedback protocol with treatment as usual TAU for adults receiving individual psychotherapy, there were significant gains for feedback groups over TAU, especially for clients identified as at risk for premature dropout or negative outcomes Lambert, 2010. In a review of studies using the Partners for Change Outcome Monitoring system, clients using brief outcome measures at each session were 3.5 times more likely to experience reliable change and had half the odds of deterioration than those in TAU Duncan, 2010, 2011; Lambert Shimokawa, 2011; Murphy Duncan, 2010. Currently, three randomized, controlled trials indicate improved outcomes using this system Anker, Duncan, Sparks, 2009; Reese, Norsworthy, Rowlands, 2009; Reese, Toland, Slone, Norsworthy, 2010. Based on the overall strength of current evidence, Lambert and Shimokawa 2011, p. 72 recommended that clinicians seriously consider making formal methods of collecting client feedback a routine part of their daily practice. 