Mental Health and Counseling Services: Questions and Feedback Form

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Have a suggestion? Have a questions or need something about our services clarified?

As University Health Services continues to evolve its services and resources to support student mental health, please use this form for any questions you have that we can address or clarify in our communications or any feedback/input that we can incorporate as we further build out our resources and services.

Your input is valued and thank you for taking the time to share with us!

What questions do you have?

Is there anything about our mental health services that we can better explain/clarify?

Any feedback or input you would like to offer that will help us as we evolve our services and resources?

What types of services beyond individual counseling would help meet your needs better?

Anything else to add?

May someone from UHS reach out to you if we need more information/details from you?

Yes

Clear selection

If so, please provide your contact information

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of UC Berkeley.

Does this form look suspicious? Report

Forms