This study examined clients' and clinicians' perceptions of walk-in and scheduled appointment sessions. Walk-in and scheduled appointment clients were matched based on their presenting problem of anxiety, depression or interpersonal relationships. The presenting problem was confirmed by client responses to the Symptom Severity Checklist-90-Revised (SCL-90-R). Clinicians and therapists completed the Session Evaluation Questionnaire (SEQ) measuring session perceptions. It was hypothesized that clients and therapists would share mutual perceptions of their sessions but would also hold distinctive session perceptions. It was hypothesized that walk-in clients would report significantly fewer symptoms following treatment than scheduled appointment clients. Quantitative results yielded no significant differences between walk-in clients, walk-in therapists, scheduled appointment clients and scheduled appointment therapists on perceptions of sessions. Quantitative results yielded no significant differences between walk-in clients and scheduled appointment clients on symptom severity measurement.