The Immaculate Heart of Mary Counseling Center (IHMCC) Feedback Survey Question Title * 1. Have you ever received counseling services through the Immaculate Heart of Mary Counseling Center (IHMCC)? Yes No OK Question Title * 2. If yes, from which counseling office did you receive services? Immaculate Heart of Mary Counseling Center - Lincoln (IHMCC) St. John Vianney - Hastings IHMCC Outreach - Beatrice IHMCC Outreach - David City IHMCC Outreach - Newman Center University of Nebraska - Lincoln IHMCC Outreach - Auburn IHMCC Outreach - Falls City Other (please specify) OK Question Title * 3. What type of services did you receive? (check all that apply) Individual Therapy Marital / Couples Therapy Family Therapy Child / Adolescent Therapy Group Therapy Psychological / Vocational Assessment In-service / Training Crisis Response Consultation School-Based Services Other (please specify) OK Question Title * 4. How satisfied were you with the counseling services you received? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 5. Have you accessed the Catholic Social Services of Southern Nebraska (CSS) website specifically for information on the IHMCC counseling services? Yes No OK Question Title * 6. If yes, how easy was it to find information about the IHMCC on the CSS website? Very easy Easy Neither easy nor difficult Difficult Very difficult OK Question Title * 7. Are you in an area in which distance prevents you from readily accessing CSS counseling services? Yes No OK Question Title * 8. How likely would it be for you to utilize telehealth services for counseling if this option was available? Very likely Likely Neither likely nor unlikely Unlikely Very unlikely OK Question Title * 9. What factors have impeded your ability to access counseling services from CSS? Location / Distance Finances / Cost Scheduling None Other (please specify) OK Question Title * 10. In considering counseling services, which of the following may be important areas of interest to you? (check all that apply) Loneliness / Isolation Boundaries Social Media Addiction Trauma Depression Anxiety Marital and Relationship Issues Perfectionism Parenting Stress Management Healthy Coping Skills Social Skills Communication Skills Vocational Discernment Personal Growth Pornography Addiction Sexual Addiction Forgiveness Grief Anger Management ADHD Autism / Asperger's Habit Disorders Pediatric Concerns (i.e., toileting, feeding, sleeping) Other (please specify) OK Question Title * 11. Vocational Status Priest / Religious School Personnel / Teacher Community Member College Student Parent / Guardian Other (please specify) OK Question Title * 12. Area of Residence Southeast Nebraska (Lincoln, Beatrice, Nebraska City, Falls City, Auburn) Eastern Nebraska (Wahoo, David City, Seward) Central Nebraska (Hastings, Kearney, Lexington) Western Nebraska (McCook, North Platte, Ogallala) OK Question Title * 13. Suggestions / Comments OK DONE