Women’s Counselling Evaluation Please select the DVAC site which provided the Counselling Question Title * 1. Please select the DVAC site which provided the Counselling Ipswich Region Service Toowoomba Region Service Date Question Title * 2. Date Date Approximately, how many sessions have you had? Question Title * 3. Approximately, how many sessions have you had? What type of counselling session/s did you have? Question Title * 4. What type of counselling session/s did you have? Onsite Offsite Phone Other (please specify) Did you feel heard, understood and respected by your counsellor? Question Title * 5. Did you feel heard, understood and respected by your counsellor? Not at all Somewhat Moderately Mostly Absolutely Not at all Somewhat Moderately Mostly Absolutely Did you feel comfortable speaking with your counsellor? Question Title * 6. Did you feel comfortable speaking with your counsellor? Not at all Somewhat Moderately Mostly Absolutely Not at all Somewhat Moderately Mostly Absolutely Was your counsellor’s approach a good fit for you? Question Title * 7. Was your counsellor’s approach a good fit for you? Not at all Somewhat Moderately Mostly Absolutely Not at all Somewhat Moderately Mostly Absolutely Were you able to work on and talk about what you wanted? Question Title * 8. Were you able to work on and talk about what you wanted? Not at all Somewhat Moderately Mostly Absolutely Not at all Somewhat Moderately Mostly Absolutely Overall, has your quality of life improved since coming to counselling? Question Title * 9. Overall, has your quality of life improved since coming to counselling? Not at all Somewhat Moderately Mostly Absolutely Not at all Somewhat Moderately Mostly Absolutely Since coming to counselling, do you feel more able to deal with challenges in your life? Question Title * 10. Since coming to counselling, do you feel more able to deal with challenges in your life? Not at all Somewhat Moderately Mostly Absolutely Not at all Somewhat Moderately Mostly Absolutely Do you feel safer/more protected from harm? Question Title * 11. Do you feel safer/more protected from harm? Not at all Somewhat Moderately Mostly Absolutely Not at all Somewhat Moderately Mostly Absolutely What do you feel you benefitted most from? Question Title * 12. What do you feel you benefitted most from? Is there anything that could be done differently in counselling? Question Title * 13. Is there anything that could be done differently in counselling? Is there any feedback you would like to give to your counsellor? Question Title * 14. Is there any feedback you would like to give to your counsellor? Do you have any further comments about your counselling experience at the service? Question Title * 15. Do you have any further comments about your counselling experience at the service? Thank youWe appreciate your feedback about our counselling service. Please do not hesitate to contact us with any further suggestions regarding ways we can improve our service to you. Done
