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First name (Not required if you would like to remain anonymous)
Last name (Not required if you would like to remain anonymous)
Which counselor are you evaluating today?
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How comfortable do you feel opening up to your counselor during sessions?
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Very Comfortable
Comfortable
Neutral
Uncomfortable
Very Uncomfortable
In what ways do you feel heard, understood, and respected by your counselor?
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How effective are the strategies and coping tools your counselor provides?
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Extremely Helpful
Helpful
Somewhat Helpful
Not Very Helpful
Not Helpful At All
What is one thing your counselor could do differently to better support you?
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How would you rate your overall progress toward your personal goals since starting?
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