PART A. About Yourself
A1. Name (optional)
A2. Staff Number (optional) A3. Gender A4. Age A5. Work Status
Part B. Attending the Service
B1. How did you find out about the Counselling Service? At an orientation activity A pamphlet on the Service In a general University publication Website A staff member Friend or family member Other B2. Why did you make an appointment with the Counselling Service? Work related matters Depression Anxiety Stress management Relationship or family issues Sexuality issues Other personal issues B3. How many times have you used the Counselling Service in the last 6 months?
B4. Which Counsellor did you see?
Part C. Satisfaction with Initial Contact
C1. How satisfied were you with the initial contact with the Service? C2. How satisfied were you with the wait time for your initial appointment? Part D. Satisfaction with the Service Provided
D1. The services I received were appropriate to my particular needs D2. The service I received helped me deal more effectively with my problems D3. When I talked to the Counsellor, he/she listened to me effectively D4. I feel the Counsellor understood my problem D5. The Counsellor was competent and knowledgeable D6. The Counsellor understood the kind of help I was seeking D7. I feel that I was an active participant during my counselling sessions D8. I feel that using the Counselling Service has helped me to continue with my work Part E. Overall Satisfaction with the Counselling Service
E1. I would use the Counselling Service again E2. I would recommend the Counselling Service to others E3. Overall, the Counselling Service has met my needs E4. Do you think counselling was important for you in remaining a staff member at the University? Do you have any other comments or suggestions about the service? Thank you for taking the time to complete our survey. Your feedback is appreciated!