EAP Assist Counselling Session Feedback Form

Please take a few minutes to fill out this feedback form regarding your recent counselling session. Please be as honest as possible. Don't worry about hurting my feelings if you have things you would like to say. Your honest feedback will help me provide you and others with the best possible assistance moving forwards.

Your Name:


Your Email:


Counsellor's name:


Date of Counselling:


Duration of Counselling:


The session was very helpful.

Lowest Highest

I felt like I was being understood.

Lowest Highest

I felt comfortable expressing my feelings and concerns.

Lowest Highest

I felt like I came away with some good insight.

Lowest Highest

I felt like I learned some new ways to handle my problems.

Lowest Highest

Was there anything in particular that you learned from this session?

Was there anything you wish you would have talked about more?

Is there something in particular you'd like to talk about in our next session?

Other Comments

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