Dialogue Post-Counselling Feedback:
from young person

Dialogue Post-Counselling Feedback from Young Person

Email
This field is for validation purposes and should be left unchanged.
It is really helpful for the counselling service to know what you think about your counselling. It helps make sure we provide a really good service to young people.

Thank you for taking the time to fill out this form.
Name*
First Last
School*
Email*
1. How helpful was counselling for you?*
- Very helpful
- Helpful
- Unhelpful
- Very unhelpful
2. What has changed for you since counselling started?
3. What do you feel was helpful about seeing your counsellor?
4. What do you feel was not helpful about seeing your counsellor?
5. Is there anything else you’d like to tell us?
Counsellor's Email Address*
Due to privacy considerations ymcadlg.org addresses only please. Use of email addresses outside this domain will result in form information being lost.
Comments made about the counselling may be used to tell others about our service, but we will never use your name.