Cedarville University
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Cedarville University
Counseling Services Satisfaction Survey
Please help us evaluate the effectiveness of Counseling Services by filling out this brief survey. This survey is being sent once a semester to all the students who have come in for counseling so that your responses are anonymous unless you choose to sign the form. The anonymous results will be sent directly to the Counseling Services office.
The problems, feelings, or situation that brought me to the counselor are:
Much Improved
Improved
About the Same
Worse
Much Worse
After working with my counselor, I understand the problems well enough to manage them in the future:
Strongly Agree
Agree
Not Certain
Disagree
Strongly Disagree
My counselor modeled the love of Christ by how he/she related to me:
Every Time We Met
Most of the Time
Couldn't Tell
Rarely
Never
If I needed help in the future, I would feel comfortable calling this counselor:
Definitely Yes
Probably Yes
Maybe
Probably Not
Definitely Not
The approximate number of times I came in for counseling was:
Please make your selection
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15+
My relationship with God was addressed as:
Very Important
Important
Insignificant
Never Addressed
How long has it been since your last visit?
Less Than 1 Month
1-2 Months
3-5 Months
6 Months+
If more than six months, how many?
Counseling ended or will end with this counselor because:
The concerns which brought me to the counselor were worked out to my satisfaction.
Most of the significant concerns which brought me to seek counseling were worked out satisfactorily. There are some minor problems which I can handle.
I felt that more counseling would not be helpful at this time, even though significant problems remained.
The counselor felt that more treatment would not be helpful at this time, even though significant problems remained.
The school year is ending and that makes it impossible to arrange further appointments.
I presently share my problems with or seek support from (check all that apply):
A Friend(s)
A Family Member
A Pastor
A Counselor
Other
If you checked "other", with whom do you share your problems?
How could we improve our services?
Name of Counselor:
Please make your selection
John Potter
Lori Anderson
Jeffrey Fulmer
Valerie Walker
Rachel Heffield
Your Name (Optional):
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