This free survey is powered by
Create a Survey
Surveys
2017
March
I
Individual Counseling-SA
Individual Counseling-SA
0%
Questions marked with a
*
are required
Exit Survey
I attended the following number of counseling sessions (please check one):
1-3 sessions
4-20 sessions
21-40 sessions
more than 40 sessions
My counselor would offer information about community resources I might need now or in the future.
Very Much/A lot
Somewhat
A Little
Not at all
I feel more in control of my life than I did before starting the counseling.
Very Much/A lot
Somewhat
A Little
Not at all
I know more ways to plan for my safety.
Very Much/A lot
Somewhat
A Little
Not at all
I know more about community resources I might need.
Very Much/A lot
Somewhat
A Little
Not at all
I found your counseling services to be helpful to my healing process.
Very Much/A lot
Somewhat
A Little
Not at all
I have a better understanding of common reactions to sexual violence.
Very Much/A lot
Somewhat
A Little
Not at all
*
When I think about what I wanted to get out of counseling, I would say (please check one):
It has met or exceeded all of my expectations
It has met most of my expectations
It has met some of my expectations
It has met few or none of my expectations
Comments
Loading...
close
Loading...
Close
qprun1.questionpro.net