Counseling and Wellness Center SurveyThe information provided in this survey is confidential and anonymous Gender Identity (Optional) Woman Man Non-binary Other Enter other… Race (Optional) American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White Other Enter other… I was able to set up an appointment within a reasonable time Strongly Agree Agree Neutral Disagree Strongly Disagree The reception staff was friendly and helpful Strongly Agree Agree Neutral Disagree Strongly Disagree I am confident that the Counseling and Wellness Center keeps my information confidential Strongly Agree Agree Neutral Disagree Strongly Disagree The Counseling and Wellness Center is a warm and welcoming environment Strongly Agree Agree Neutral Disagree Strongly Disagree I would recommend the Counseling and Wellness Center to a friend Strongly Agree Agree Neutral Disagree Strongly Disagree I cope better with the problems that brought me to counseling Strongly Agree Agree Neutral Disagree Strongly Disagree My counselor created a supportive and open environment Strongly Agree Agree Neutral Disagree Strongly Disagree Counseling has helped me remain in school Strongly Agree Agree Neutral Disagree Strongly Disagree If needed, I will use the Counseling and Wellness Center in the future Strongly Agree Agree Neutral Disagree Strongly Disagree 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 Strongly Agree Agree Neutral Disagree Strongly Disagree Your Counselor's Name Please provide any additional feedback or comments you may have Leave this field blank
