1. Which service(s) have you used at Oakridge Counselling?

Consultation

Couples counselling

Individual counselling

Telephone counselling

Other

2. How would you rate the quality of client service you experienced in the following areas:

(1 = excellent, 2 = good, 3 = average, 4 = poor and 5 = not applicable)

  Initial Contact

  Consultation

  Session Visits

3. Please rank how important the following factors are when choosing a counsellor.

(1 = most important and 5 = least important - use a number only once)

  Reputation

  Personal Fit

  Area of Expertise

  Price

  Availability

Other

4. Have you used any products or services prior to counselling that were helpful? (example: anti-depressant medication, self help books, group counselling, other counselling, spoken with clergy etc.)

5. How well did the counselling you received meet your expectations about counselling?

  (1= exceeded, 2 = met, 3 = somewhat met, 4 = did not meet)

6. If Oakridge Counselling had been fully booked when you initially contacted them, who would you have seen instead?

7. What changed as a result of your sessions with Oakridge Counselling?

8. What can we do to improve our service?

9. Are there any other comments you would like to add?