Feedback and Evaluation of Counselling and Psychology Intervention

Please take a few minutes to complete this form, there's just 3 sections: overall feedback, the impact the counselling/psychological intervention had on you and feedback about your Psychological Therapist. Any feedback you offer will help us evaluate the Counselling and Psychology Interventions Team (CAPIT). Your text responses may be included on the website, but will be anonymous.

Section 1: Overall Feedback

Yes

very satisfied

satisfied

dissatisfied

What in your opinion could the Counselling and Psychology Interventions Team do to improve?

Section 2: Impact and Effectiveness

The impact of therapy

not at all

to a limited extent

one of many factors

an important factor

the most significant factor

To what extent would you say that the therapy has helped you to stay at university?

To what extent would you say that therapy has helped you manage your academic work?

The effect of therapy

not at all

to a limited extent

one of many factors

an important factor

the most significant factor

To what extent would you say that therapy has improved your overall experience of university?

To what extent would you say therapy has helped you develop skills that might be useful in obtaining future employment (eg increased confidence; assertiveness)?

Overall, rate the effect therapy has made on these specific aspects:

no improvement

some improvement

significant improvement

your general wellbeing

your general mood

your understanding of your self

your understanding of others

your self esteem

your ability to manage difficult feelings

Please describe how therapy has impacted on you

Section 3: Feedback for your Psychological Therapist

Please rate according to your overall experience of your Psychological Therapist:

I agree

I disagree

They seemed to listen well to me

They worked hard to understand me/my issues

They seemed confident and competent in working with me

I felt appropriately challenged (eg they took the lead/asked questions/offered suggestions etc when appropriate)

Boundaries were upheld well (starting and finishing on time; confidentiality; etc)

The end of my time in therapy was handled appropriately

I felt they worked well with me to help me understand my self better

Who was your Psychological Therapist? (listed alphabetically by name)

What is your name (or ID number if you’d prefer) – you don’t have to include this.

Thank you for completing this evaluation form. Your feedback is valuable and all comments will be read. Click 'send form' to submit.

Privacy notice

This form is anonymous (unless you choose to include your name or ID number). The data you provide is used to help us improve the Counselling and Psychology Interventions Team and occasionally feed in to national (anonymised) data collection sets.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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