Counselling Feedback & Experience Survey

Your details

Your counselling

Your wellbeing

There are no right or wrong answers, just answer as honestly as you can.

None of the time
Rarely
Some of the time
Often
All of the time
Future Optimism
Feeling Useful
Feeling Relaxed
Interested in Others
Energy Level
Problem Management
Thinking Clearly
None of the time
Rarely
Some of the time
Often
All of the time
Close to Others
Feeling Confident
Decision Making
Feeling Loved
Interest in New Things
Feeling Cheerful

Your counsellor

Strongly disagree
Strongly agree
Counsellor Understood Me
Counsellor Supported Me
Counsellor Acceptance
Counsellor Listening
Counsellor Helpfulness
Open Communication
Appointment Flexibility
Appointment Punctuality

The impact of counselling

Very significantly
Somewhat significantly
Neutral
Not significantly
Not at all
Mental Health Support
Self-Esteem Improvement
Daily Challenges
Mental Health Advocacy

Overall feedback

Staying in touch

Yes
No
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