6-8 session review

1.

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* 1. Where do you receive counselling - Perth, Rockingham, Kwinana, Mandurah, Bunbury, Collie or Albany?

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* 2. On a scale of 0 - 10, how comfortable do you feel with your current counsellor? (0 = not at all, 10 = extremely comfortable)

	0	1	2	3	4	5	6	7	8	9	10
Comfortable with Counsellor	Comfortable with Counsellor 0	Comfortable with Counsellor 1	Comfortable with Counsellor 2	Comfortable with Counsellor 3	Comfortable with Counsellor 4	Comfortable with Counsellor 5	Comfortable with Counsellor 6	Comfortable with Counsellor 7	Comfortable with Counsellor 8	Comfortable with Counsellor 9	Comfortable with Counsellor 10

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* 3. How clear are the goals that you are working on with your counsellor? (0 = not at all clear, 10 = extremely clear)

	0	1	2	3	4	5	6	7	8	9	10
Clear Goals	Clear Goals 0	Clear Goals 1	Clear Goals 2	Clear Goals 3	Clear Goals 4	Clear Goals 5	Clear Goals 6	Clear Goals 7	Clear Goals 8	Clear Goals 9	Clear Goals 10

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* 4. How helpful are you finding the counselling process? (0 = not at all, 10 = extremely helpful)

	0	1	2	3	4	5	6	7	8	9	10
How helpful is counselling?	How helpful is counselling? 0	How helpful is counselling? 1	How helpful is counselling? 2	How helpful is counselling? 3	How helpful is counselling? 4	How helpful is counselling? 5	How helpful is counselling? 6	How helpful is counselling? 7	How helpful is counselling? 8	How helpful is counselling? 9	How helpful is counselling? 10

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* 5. How confident are you that counselling will support you to reach your goals in the future? (0 = not at all confident, 10 = fully confident)

	0	1	2	3	4	5	6	7	8	9	10
Confidence in counselling	Confidence in counselling 0	Confidence in counselling 1	Confidence in counselling 2	Confidence in counselling 3	Confidence in counselling 4	Confidence in counselling 5	Confidence in counselling 6	Confidence in counselling 7	Confidence in counselling 8	Confidence in counselling 9	Confidence in counselling 10

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* 6. Please comment as to why this is the case:

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* 7. Do you have any comments or feedback, positive or negative, that you would like us to know about?

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* 8. Thank you very much for your time and good luck! You can provide your name if you want to (optional)