Client-Counsellor Feedback

You DO NOT need to identify yourself

This form allows you an opportunity to provide feedback to your counsellor after your sessions have finished. This will help your counsellor’s professional development as well as helping to improve the service offered to others.

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* 1. My counsellor listened to me effectively.

Agree

Disagree

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* 2. My counsellor understood things from my point of view.

Yes

Question Title

* 3. My counsellor focused on what was important to me.

Yes

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* 4. My counsellor accepted what I said without judging me.

Yes

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* 5. My counsellor fostered a safe and trusting environment.

Yes

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* 6. My counsellor began and finished our sessions on time.

Always

Sometimes

Never

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* 7. My counsellor challenged me when/if that was appropriate.

Yes

Other (please specify)

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* 8. The sessions with my counsellor helped me with whatever originally led me to seek counselling.

Yes

Other (please specify)

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* 9. Any changes which might have occurred in me because of my counselling have been positive and welcome.

Yes

Other (please specify)

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* 10. Based on my experience, I would recommend my counsellor to others.

Yes

Other (please specify)