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NSVSS Counselling Service Evaluation

Rate our service and let us know how we did.

Thank you for taking the time to fill in an evaluation form about our counselling service.  You do not have to give answers to all the questions and it can be filled in anonymously if you choose.  Any feedback given will help us to understand what things about our service worked well, where changes might be needed and for us to hear any suggestions you might like to make.  Our Privacy Policy can be found here.

At the end of the form, there will be an opportunity for you to join our service user forum.  If you have answered the survey anonymously, don’t worry!  After you submit your response you will be taken to a ‘Thank you page’ where there will be another opportunity to sign up to this.


    Client Details


    About the counselling service
















    About your counsellor






    Since receiving counselling






    Your feelings since receiving counselling




















    (note that single gendered means a male group is for all men, and a female group is for all females)


    In order for us to contact you about your evaluation, we need to have your contact details.

    In order for us to contact you about the forum, we need to have your contact name. If you choose to submit the survey anonymously, please remember to sign up to the forum using the link on the Thank You page.