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Counselling Feedback

I would appreciate you taking the time to complete this survey. Feedback helps me to monitor the quality of the counselling service and to make improvements.

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Step 1 of 5

20%

Overall, how helpful was the counselling you received?

Very helpful

Helpful

Neither

Not helpful

Not at all helpful

How are you feeling now?

Much better

Better

The same

Worse

Much worse

Please rate the following aspects of counselling in their level of importance to you:

Having someone to listen to me

Very important

Important

Unimportant

Very unimportant

Knowing the counselling/therapy was confidential

Very important

Important

Unimportant

Very unimportant

Getting a different perspective on my situation

Very important

Important

Unimportant

Very unimportant

Talking to someone independent and impartial

Very important

Important

Unimportant

Very unimportant

Building a relationship with the counsellor/therapist

Very important

Important

Unimportant

Very unimportant

Receiving information and/or guidance

Very important

Important

Unimportant

Very unimportant

Please rate how you feel about practical aspects of counselling using the scale below.

The way you were dealt with when you first contacted us

Very satisfied

Satisfied

Unsatisfied

Very unsatisfied

The time you had to wait until your first appointment

Very satisfied

Satisfied

Unsatisfied

Very unsatisfied

The gaps between appointments

Very satisfied

Satisfied

Unsatisfied

Very unsatisfied

The surroundings you were seen in

Very satisfied

Satisfied

Unsatisfied

Very unsatisfied

The counselling style of the therapist you saw

Very satisfied

Satisfied

Unsatisfied

Very unsatisfied

Would you see a counsellor again?

Yes

Maybe

Would you recommend the service to a colleague?

Yes

Maybe

Do you have any other comments you would like to make about the service?

Would you like us to contact you about your feedback?

Yes

Name*

First Last

Email*

Thank you for your feedback.

Name

This field is for validation purposes and should be left unchanged.

Flying Kites Counselling