Feedback Survey WordPress

*Please select ALL that apply*

What services did your counselor provide?

Mindfulness Training. Typically includes informational learning, guided practices, and skills coaching.

EAP or Short-Term Services. This is usually 2-8 sessions and is solution-focused.

Cognitive Behavioral Therapy. CBT includes strategies for changing thoughts or beliefs and behaviors.

Insight Talk Therapy. A less structured mode in which client and counselor have an open conversation about desired changes.

Family or Child Counseling. Involves more than one family member or is focused on a child.

Other

Comment

What qualities of your counselor did you find most helpful?

Respectful of who I am as an individual

Understanding of my issues

Knowledgeable of the service(s) provided

Authentic and approachable

Professional presentation

Met my needs and expectations

Other

Comment

If you were provided Mindfulness Training how would you best describe the service?

Informational

Relevant to my specific issues

Helpful with life satisfaction in general

Something I will continue to use

Could use improvement

I did not recieve Mindfulness Training

Other

Comment

Assuming it's secure, what technology would you use or include for Mindfulness Training or other counseling services?

Phone call

Text with an app

Live video chatting

Recorded videos

A third-party platform

Other

Comment

Which mode would you pay for technology-based Mindfulness Training with your counselor?

Two hours of recorded informational videos and five sessions of 30 minute guidance/coaching with live video chatting for $1/minute.

Two hours of recorded informational videos and five sessions of 30 minute guidance/coaching recorded videos at $1/minute.

Two hours of informational learning with live video chatting and five sessions of 30 minute guidance/coaching through recorded video at $1/minute.

Two hours of recorded informational videos for $1/minute with an option to meet in-person for guidance/coaching as needed for $2/minute.

Four to six hours of phone calls for $1/minute including informational learning, guided practices, and skills coaching.

Supplementary text using phone, email, or app service for $10 per message.

I would not pay for Mindfulness training other than in-person.

Other

Comment

Please provide any suggestions for improvements or other feedback you would like your counselor to know: