Request edit access
Feedback form
Please submit feedback regarding the counseling you have just completed, including feedback on counseling structure, content, and counselor. Any other queries, you may submit to academyshiv@gmail.com or may visit www.shiva.ind.in
Your Name *
Your answer
Counselor *
Your answer
Level of effort *
Poor
Fair
Satisfactory
Very good
Excellent
Level of effort you made
Contribution to healing and self transformation *
Poor
Fair
Satisfactory
Very good
Excellent
History and Stress Identification
Pre and Post Assessment
Counseling and Healing Process
Meditation
Skill and responsiveness of the Counselor *
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Counselor was good in knowledge
Counselor made me to identify the causes of stress
Counselor made me to release the emotions and helped me in understanding
Instructor effectively taught me about Mind, Stress, Healthy Life Style and Coping skills
Instructor was available and helpful to identify additional required life skills
Assessment had useful feedback
Counseling technique and Course content *
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Counseling objectives were clear
Education content was organized and well planned
Method was appropriate
Counseling and Education made to bring self transformation and healing
What aspects of this Counseling and Education were most useful or valuable?
Your answer
How would you like to improve the sessions?
Your answer
Would you recommend to others?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service