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1. My counsellor helped me identify my issues/concerns

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2. My counsellor developed a plan in consultation with me

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3. The counselling has led to improved outcomes/wellbeing for you or your family/whanau

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4. How satisfied were you with your counselling?

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5. Are you, or were you comfortable with the service you received from our staff?

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6. Were you needs met by the agency (cultural needs, safety needs, referral options provided, I was seen in a timely manner)

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7. Do you have any comments or suggestions for change to the way the service is delivered?

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8. Is there anything else you would like to tell us about the service?

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9. What is your first name?

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