Mental Health Counseling Feedback Form
Name
Email
Date of Session
1. How would you rate your overall counseling experience?
1
2
3
4
5
2. Did you feel comfortable with your counselor?
Yes
Somewhat
No
3. Did the counselor help you work toward your goals?
Yes
Somewhat
No
4. What did you find most helpful about your counseling experience?
5. What suggestions do you have for improving our services?
6. Any additional comments?