Counselling feedback questionnaire

Thank you for agreeing to take part in our evaluation. Your response will help us to evaluate and improve the counselling service.

We value all feedback, both positive and negative. It will be helpful if you complete all questions, there are 14 in total and it should take approximately 3 minutes to complete. If you prefer not to answer some of the questions, we would still appreciate your input.

Your responses are anonymous. You cannot be identified by completing this questionnaire.

1. Which counsellor did you meet with?
2. Did the clinic explain that counselling would be done via video/telephone with the option of face to face if preferred?
3. How was the waiting time for your appointment?
4. What prompted you to see the counsellor?
6. I/We felt the number of counselling session provided were:
7. I / We felt comfortable having a video or telephone consultation
9. What type of counselling did you receive?
10. How was your experience of counselling?
11. Please let us know what you gained from your counselling appointment? (Choose all that are applicable)
12. Did you access counselling as an individual or as a couple?
13. Would you use/recommend the counselling service again?