Online Counseling Feedback Form

To help us ensure that we are providing a high-quality service, we would greatly appreciate your time and
consideration in completing this online counseling feedback form. Your opinion is valued and we thank you for your honesty.

Regards,

Ma. Norelyn M. Cacay
Guidance Counselor
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Name of Student (First, Middle, Last)
Grade level
Section
Gender
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Name of Adviser
Student's Contact Number
Name of Parent
Parents' Contact Number
Reason for Counseling
How helpful have the school counseling sessions been?
Clear selection
If ‘not at all’ please give details why?
Do you feel like your School Counsellor understands your needs?
Clear selection
Have you gained new insights or skills after online counseling?
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What is the overall satisfaction level of your counseling experience?
Clear selection
Would you like a follow-up session with the Guidance Counselor?
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Submit
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