Counselling Feedback Form

You have recently received counselling from Carers Milton Keynes. We would be very grateful to receive your feedback on this aspect of our service so that we can ensure a high quality service that is appropriate for carers.

    Name of Counsellor (required)

    Date of counselling (required)

    Did your Counsellor understand you and work through your concerns and issues?

    What difference did it make to your life in general?

    What difference did it make to your caring role?

    Overall how useful did you find your sessions?

    How did you find the environment?

    Would you recommend this service to anyone else?

    Any further comments or concerns?

    Name (optional)

    Do you consent to this information being shared with the Counsellor?
    YesNo