The information provided in this survey is confidential and anonymous


Gender Identity (Optional):
Race (Optional):
Please select the choice that best describes your agreement with the following statements:
I was able to set up an appointment within a reasonable time:
The reception staff was friendly and helpful:
I am confident that the Counseling and Wellness Center keeps my information confidential:
The Counseling and Wellness Center is a warm and welcoming environment:
I would recommend the Counseling and Wellness Center to a friend:
I cope better with the problems that brought me to counseling:
My counselor created a supportive and open environment:
Counseling has helped me remain in school:
If needed, I will use the Counseling and Wellness Center in the future:
What did you find most helpful about counseling?
If you are no longer receiving services, what was the primary reason for leaving?
Do you have any suggestions for improvement?
Overall, I am satisfied with the services received:
Your Counselor's Name:
Please provide any additional feedback or comments you may have.