Counseling Center Survey

We would appreciate your honest feedback on your experience with Holy Family University’s Counseling Center. We are committed to improving the quality of our services on an ongoing basis and give consideration to suggestions made to us. ALL RESPONSES ARE ANYMNOMOUS AND CONFIDENTIAL. Thank you.

Date:______Last Session Date: ______

Please circle the response that most accurately reflects your experience.

  1. How did you hear about the Counseling Center?
  1. In class presentation e. Workshop presentation i. Other :______
  2. Referred by Staff/Faculty f. Orientation
  3. Holy Family Web site g. Friend/Family Member
  4. Saw the Center walking by h. Another student who uses the services
  1. After your first contact with the Counseling Center- to the best of your recollection, how long did you wait for your first appointment
  1. Seen the same day d. 6-10 days
  2. 1- 2 days f. more than 10 days
  3. 3-5 days
  1. If you had to wait for an appointment, circle what waiting for your appointment was like for you?
  1. It was helpful to wait. c. It was stressful to wait but manageable. E. N/A
  2. Made no difference to wait. d. It made it worse by waiting.
  1. In your best estimation how many counseling sessions did you have?
  1. 1 b. 2-4 c. 5-8 d. 9-12 e. 12-20 f. 20 or more
  1. The major reason I sought counseling:
  1. Family problems e. Drug/Alcohol Use h. Traumatic Experience
  2. Academic difficulties f. Low self-esteem i. Other______
  3. Relational difficulties g. Depression
  4. Stress/anxiety f. Grief

Please answer the following questions by rating your response on a scale of 1 (poor/lowest/disagree) to

7(improved/highest/agree), or circle N/A if it does not apply to you.

  1. Before I started counseling my daily functioning was :

1 2 3 4 5 6 7 N/A

  1. When I finished counseling my daily functioning was:

1 2 3 4 5 6 7 N/A

  1. My academic performance before counseling was:

1 2 3 4 5 6 7 N/A

Counseling Center Survey

  1. When I finished counseling my academic performance was:

1 2 3 4 5 6 7 N/A

  1. Overall, I found that counseling services helped me.

1 2 3 4 5 6 7 N/A

  1. It was easy to find out information about the counseling services.

1 2 3 4 5 6 7 N/A

  1. I would return for services at the Counseling Center if I needed it.

1 2 3 4 5 6 7 N/A

  1. I would recommend the Counseling Center to my friends.

1 2 3 4 5 6 7 N/A

  1. I felt respected by my primary counselor.

1 2 3 4 5 6 7 N/A

  1. I felt my confidentiality was respected by counselor.

1 2 3 4 5 6 7 N/A

  1. My intake process was easy.

1 2 3 4 5 6 7 N/A

Please complete the following questions.

  1. What I found the most helpful in counseling was:

______

  1. What I found the least helpful in counseling was: ______
  1. We would appreciate any further comments you have (positive or negative) about your experiences, and suggestions about services in the counseling center.

______

Optional information for statistical purposes only.Please circle what best represents you.

Female Male Major:______

  1. Freshman Sophomore Junior Senior Grad Certificate
  2. F/T Student P/T Student Alumni Employee Other:______
  3. African-American Asian Hispanic/Latin Native American Asian-Pacific Islander

White/European- American Other:______

THANK YOU!

12/03/2013