The Counseling Center staff is interested in obtaining your comments about the services offered to you. Your feedback helps us to improve the quality and effectiveness of the Counseling Center.

Current student year:*

Freshman

Sophomore

Junior

Senior

Other

Gender:*

Female

Male

Other

Prefer not to say

Ethnicity:*

African-American/Black

Anglo-American/White

Asian-American/Pacific Islander

Hispanic/Latino

Native American

More than one ethnicity

Other

Prefer not to say

Sexual orientation*

Straight

Gay

Bisexual

Questioning

Other

Prefer not to say

Additional demographic

Student athlete

Veteran

International student

Transfer student

Please rate your overall distress when you first came to counseling:*

1- Not distressed

2

3

4

5- Extremely distressed

Please rate your overall distress today*

1- Not distressed

2

3

4

5- Extremely distressed

At this time my counseling is:*

still in progress

has been completed

Counseling appointments have been made available when I needed them*

1

2

3

4

5

I feel confident that my counselor protected my privacy*

1

2

3

4

5

I was treated respectfully by my counselor*

1

2

3

4

5

My counselor genuinely understands my problems, thoughts and feelings*

1

2

3

4

5

My counselor helps me think about changes I want to make in my life*

1

2

3

4

5

My counselor and I worked well together*

1

2

3

4

5

I felt safe and comfortable to talk about my issues in counseling*

1

2

3

4

5

My counselor helped me to find my own solutions*

1

2

3

4

5

I have learned skills to help me manage future problems*

1

2

3

4

5

I could have done more to make counseling more useful for me*

1

2

3

4

5

My counselor could have done more to make counseling more useful for me *

1

2

3

4

5

I am satisfied with the accomplishments that I made in counseling*

1

2

3

4

5

My concerns that brought me to the Counseling Center have improved as a result of the services provided*

1

2

3

4

5

My academic performance has improved as a result of my participation in counseling*

1

2

3

4

5

My student experience has been enhanced as a result of counseling*

1

2

3

4

5

What I have learned from coming to the Counseling Center has led to positive changes in my life*

1

2

3

4

5

would recommend the Counseling Center to a close friend with personal problems*

1

2

3

4

5

If needed in the future while attending BAC, would you come back to the Counseling Center?*

Yes

Maybe

No (please provide reason why below)

Please rate your overall experience with the Counseling Center: (1- Very dissatisfied, 10- Extremely satisfied)*

1

2

3

4

5

6

7

8

9

10