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Counseling Services Student Satisfaction Survey
STUDENT AFFAIRS AND ENROLLMENT MANAGEMENT
STUDENT SUCCESS UNITS
OUR STAFF
SERVICES
FOOD PANTRY SERVICES
GROUP PRESENTATION REQUEST FORM
REFERRAL FORM
UCC COMMUNITY RESOURCE GUIDE
Please don't fill out this input box.
Thank you for taking a moment to respond to this survey. Your comments will be invaluable to us as we strive to continually improve services.
College classification
Freshman
Sophomore
Junior
Senior
Graduate
Faculty
Staff
Age
Gender
Male
Female
Other
Ethnicity
African American
Asian American/Pacific Islander
Latino
European American/Caucasian Native American
Other
How many counseling sessions have you attended at the University Counseling Center?
1
2-10
11-20
How did you find out about the Counseling Center?
Self-Referral
Instructor
Friend
Staff
Other
What reason did you come to the University Counseling Center today? (Check as many as apply)
Personal Conseling
Academic Counseling
Information
Mandated Group
Other
Please select the number to the right of each statement which indicates your level of agreement.
(1= Least Agreement 2= Highest Agreement)
1) I was treated courteously, promptly by the front office staff.
1
2
3
4
5
N/A
2) I felt comfortable in the waiting area.
1
2
3
4
5
N/A
3) I was treated courteously by the counselor I saw.
1
2
3
4
5
N/A
4) The counselor seemed well-trained and skilled in helping me with my problems.
1
2
3
4
5
N/A
5) If the need to speak to someone arises again, I would return to the University Counseling Center.
1
2
3
4
5
N/A
6) I would recommend the University Counseling Center to others.
1
2
3
4
5
N/A
Suggestions/Comments:
Counseling Center
ACTIVITY EVALUATION FORM
Name of Activity:
Facilitator:
Date:
Time:
Place:
Please complete the evaluation on a scale of 1-5 with 1 being the lowest and 5 being the highest with your level of agreement with the activity.
totally disagree
disagree
somewhat agree
agree
totally agree
1. The goals of the activity/program were clearly stated?
2. The activity/program was informative?
3. The content of the activity/program met my expectations?
4. The Counseling Center should continue to sponsor programs similar or relevant to this activity?
5. The facilitator was prepared for the activity/program?
6. Would you attend another activity/program sponsored by this office?
7. Would you recommend others to attend activities/programs sponsored by this office?
8. There were sufficient handouts available?
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