Family Support Services - Feedback Form

This form allows you to evaluate the counselling service you have received. Your feedback is important to help us plan our counsellors' professional development and further improve our services. Your answers will be treated with strict confidence and you do not have to identify yourself.

Your Email

Confirm Email

Your Name (optional)

Counsellor's Name

Counselling Date

Please indicate your rating for each statement.

1. Setting up an appointment was easy.

2. I was able to make appointments at a suitable time.

3. The ambience of the session was comfortable and conducive.

4. I have a better understanding of the cause of my problem.

5. The counsellor listened to me effectively.

6. The counsellor fostered a safe and trusting environment.

7. The counsellor helped me understand myself and the part I play in my problem(s).

8. The counsellor gave me new information and taught me new skills related to my goals.

9. The counsellor supported me in making the changes needed to accomplish my goals.

10. Overall, I was satisfied with the counselling service provided.

11. I would recommend the counselling service provided.

Yes

12. Other Comments