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Home
Counseling and Wellness Center Survey
Gender Identity (Optional)
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Race (Optional)
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White
Other
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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
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