Counseling Services Feedback

An asterisk (*) next to the question means you must answer the question.

Disclaimer: This survey is completely anonymous and none of your personal information will be recorded.

What service from the counseling center did you attend?*

Individual CounselingCouples CounselingWorkshops/EventsNone

Please rate the following questions:

Note: If the question doesn't apply to you, skip the question.

Was your intake form answered in a timely manner?

	1	2	3	4	5

1 is Worst, 5 is Best

Was your first appointment with a counselor scheduled in a timely manner?

	1	2	3	4	5

1 is Worst, 5 is Best

Did you feel like the counselor cared about you and your feelings?

	1	2	3	4	5

1 is No, 5 is Yes

Did counseling help you deal with or overcome concerns that might have interfered with you education?

	1	2	3	4	5

1 is No, 5 is Yes

Did you learn skills that helped you cope more effectively with daily life?

	1	2	3	4	5

1 is No, 5 is Yes

Were you able to successfully resolve what initially led you to seek counseling?

	1	2	3	4	5

1 is No, 5 is Yes

Were the counseling staff were friendly and helpful?

	1	2	3	4	5

1 is No, 5 is Yes

Would you recommend The Counseling Center at Tech to a friend?

	1	2	3	4	5

1 is No, 5 is Yes

If you did not return to the counseling office for a follow-up, what was the reason?

What workshops or educational opportunities would you like to see The Counseling Center offer?

Is there anything you think The Counseling Center could do differently or better?

Is there anything else you would like to share with The Counseling Center?