Counseling Survey

Gathers feedback from clients or students about their counseling experience to measure satisfaction and surface opportunities for improvement.

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Your Name (Optional)

First Name

Last Name

Email Address (Optional)

How satisfied were you with your counseling experience?

Not likely

1 2 3 4 5 6 7 8 9 10

Very likely

What issues did you seek counseling for?

How effective did you find the counseling sessions?

Not likely

1 2 3 4 5 6 7 8 9 10

Very likely

Would you recommend our counseling services to others?

Yes No Maybe

What did you like most about the counseling sessions?

What improvements would you suggest?

Any additional comments or feedback?

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