6-8 session review

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1. Where do you receive counselling - Perth, Rockingham, Kwinana, Mandurah, Bunbury, Collie or Albany?

Where do you receive counselling - Perth, Rockingham, Kwinana, Mandurah, Bunbury, Collie or Albany?

2. On a scale of 0 - 10, how comfortable do you feel with your current counsellor? (0 = not at all, 10 = extremely comfortable)

	0	1	2	3	4	5	6	7	8	9	10
Comfortable with Counsellor	*On a scale of 0 - 10, how comfortable do you feel with your current counsellor? (0 = not at all, 10 = extremely comfortable) Comfortable with Counsellor 0	Comfortable with Counsellor 1	Comfortable with Counsellor 2	Comfortable with Counsellor 3	Comfortable with Counsellor 4	Comfortable with Counsellor 5	Comfortable with Counsellor 6	Comfortable with Counsellor 7	Comfortable with Counsellor 8	Comfortable with Counsellor 9	Comfortable with Counsellor 10

3. How clear are the goals that you are working on with your counsellor? (0 = not at all clear, 10 = extremely clear)

	0	1	2	3	4	5	6	7	8	9	10
Clear Goals	*How clear are the goals that you are working on with your counsellor? (0 = not at all clear, 10 = extremely clear) Clear Goals 0	Clear Goals 1	Clear Goals 2	Clear Goals 3	Clear Goals 4	Clear Goals 5	Clear Goals 6	Clear Goals 7	Clear Goals 8	Clear Goals 9	Clear Goals 10

4. How helpful are you finding the counselling process? (0 = not at all, 10 = extremely helpful)

	0	1	2	3	4	5	6	7	8	9	10
How helpful is counselling?	*How helpful are you finding the counselling process? (0 = not at all, 10 = extremely helpful) How helpful is counselling? 0	How helpful is counselling? 1	How helpful is counselling? 2	How helpful is counselling? 3	How helpful is counselling? 4	How helpful is counselling? 5	How helpful is counselling? 6	How helpful is counselling? 7	How helpful is counselling? 8	How helpful is counselling? 9	How helpful is counselling? 10

5. How confident are you that counselling will support you to reach your goals in the future? (0 = not at all confident, 10 = fully confident)

	0	1	2	3	4	5	6	7	8	9	10
Confidence in counselling	*How confident are you that counselling will support you to reach your goals in the future? (0 = not at all confident, 10 = fully confident) Confidence in counselling 0	Confidence in counselling 1	Confidence in counselling 2	Confidence in counselling 3	Confidence in counselling 4	Confidence in counselling 5	Confidence in counselling 6	Confidence in counselling 7	Confidence in counselling 8	Confidence in counselling 9	Confidence in counselling 10

6. Please comment as to why this is the case:

Please comment as to why this is the case:

7. Do you have any comments or feedback, positive or negative, that you would like us to know about?

Do you have any comments or feedback, positive or negative, that you would like us to know about?

8. Thank you very much for your time and good luck! You can provide your name if you want to (optional)

Thank you very much for your time and good luck! You can provide your name if you want to (optional)