Counseling Session Evaluation Form:

Completion of this form is much appreciated and will aid the counselor in improving his or her approach.
You can remain anonymous if you wish by omitting the date, your name and email

Counselor Name

Date of Session (Optional)

Client Name (Optional)

Client email (Optional)

My counseling session was:  Face-to-face  E-mail Telephone

SCORE's Goal: To provide a complete answer to your question or need

(1) Overall, did the session meet your expectations / goals ?
Select one of the following #5 - Excellent - Information accurate and helpful; completely answered the questions #4 - Very Good - Goals mainly achieved; good information #3 - Good - Goals mostly achieved; possibly still working on the case #2 - Fair - Goals partially achieved; some questions/needs not answered #1 - Poor - Goals not achieved; most questions not answered

(2) Did the Counselor understand you fully ? Yes No

(3) Quality of Response:
Did you come away with a clear idea of what you needed to do to meet your goals ?
Select one of the following #5 - Excellent - I have a clear plan of action. #4 - Very Good - I have a pretty good idea what to do. #3 - Good - I have some ideas on the next steps. #2 - Fair - I only have a vague idea on what to do next. #1 - Poor - I am as confused as when I came in.

(4) Did the Counselor identify your goals, challenges, or opportunities ?
Select one of the following #5 - Excellent - All identified. #4 - Very Good - Almost all identified. #3 - Good - Most identified. #2 - Fair - Few identified. #1 - Poor - Very few identified.

(7) Please enter any other comments you might have:
  

Thank you very much. Now please push "Submit" to send it to us: