Women’s Counselling Evaluation Question Title * 1. Please select the DVAC site which provided the Counselling Ipswich Region Service Toowoomba Region Service Question Title * 2. Date Date Date Question Title * 3. Approximately, how many sessions have you had? Question Title * 4. What type of counselling session/s did you have? Onsite Offsite Phone Other (please specify) 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 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 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 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 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 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 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 Question Title * 12. What do you feel you benefitted most from? Question Title * 13. Is there anything that could be done differently in counselling? Question Title * 14. Is there any feedback you would like to give to your counsellor? 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
