1. The counselor showed care and concern for me and my educational progress/goal and the counselor gave me the amount of time and attention I needed?

2. I have been talked to with respect and treated fairly by the Counseling Center counselors and staff.

3. I felt welcomed to the Counseling Center regardless of my race/ethnicity, language, gender, sexual orientation, religion or disability status.

4. What is your educational goal?

5. What is your approximate average household income?

6. Are you a primary caregiver for any of the following?

7. Please mark the appropriate item

8. What is your age?

9. With what racial/ethnic group(s) do you identify?

10. Are you a person with a disability?

11. Are you a veteran of the US armed services?