Carbon County Counseling Center Client Satisfaction Survey
What is your age? *
What is your gender? *
What is your race/ethnicity? *
What is your sexual orientation *
What is the primary program in which you were enrolled in? *
Are you still attending services at Carbon County Counseling? *
Was this your first time receiving services from Carbon County Counseling? *
What services did you receive? *
Required
My primary counselor is/was... *
The reception staff was respectful *
Not True
True
My individual counselor was respectful *
Not True
True
The group counselors were respectful (skip if no groups were attended)
Not True
True
Other staff were respectful (skip if not applicable)
Not True
True
Did you create a personal treatment plan with your primary counselor? *
Did you receive a copy of your treatment plan? *
I felt heard , understood, and respected by my therapist. *
Not True
True
My therapist and I worked on and talked about what I wanted to work on and talk about. *
Not True
True
My therapist's approach was a good fit. *
Not True
True
Overall, my therapist was right for me. *
Not True
True
When I first came here, I: *
Since being here, I: *
What I have learned from coming to the counseling Center has led to positive changes in my life. *
I have learned one or more strategies to solve or cope with problems. *
I learned to think more clearly/accurately to reduce distressing emotions or behaviors. *
I've increased my ability to recognize, name, and/or appropriately express my emotions. *
I've improved my self-confidence or self-esteem *
What did you find most helpful about counseling? *
Your answer
What did you find least helpful about counseling? *
Your answer
If you could change anything about your counseling, what would it be? *
Your answer
Were there services that you needed that weren't offered? *
Your answer
If needed, would you come back to Carbon County Counseling? *
Would you recommend Carbon County Counseling to a close friend with personal problems? *
Please rate your overall experience with Carbon County Counseling. *
Very Dissatisfied
Very Satisfied
Please write any additional comments.
Your answer
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