Name *
Name
1 = Very Distressed 10= No Distress
1= Very Stressed with little ability to cope 10=Not stressed about the situation and coping very well.
1 = Low 10 = High
Was the location assigned to you to receive counseling convenient for you? *
Do you feel the counselor assigned to you was a good fit for the difficulties you were experiencing?
Personal reflections of our clients are valuable to the continued work of the Partnership; occasionally we will use some of these comments in letters. website or brochures. If your comments are used your name will NEVER be used in any of these publications. The Partnership for Pastoral Counseling adheres to a very strict confidentiality policy. A copy of this policy is available upon request.