Grief Counseling Satisfaction Survey - Hospice & Community Care

1. Who was your counselor?*

Alyssa M.
Christy R.B.
Deb G.P.
Elaine O.
Jon R.
Sonya H.V.

2. Were counseling sessions provided in a safe and confidential place?*

Yes
No

Comments:

3. Some goals take a long time to "reach." Frequently, it's a process that unfolds and small adjustments take place over years. Do you feel your sessions have helped you identify what is difficult and helped you begin to address them?*

Yes
No

Comments:

4. The counseling sessions helped me identify common grief responses.*

Strongly DISAGREE
DISAGREE
Neither agree nor disagree
AGREE
Strongly AGREE

Comments:

5. Additional comments/suggestions you feel would be helpful in improving what we provide through the Pathways Center for Grief & Loss counseling services:

Your Name (optional):

If you provided comments, may we quote you in our promotional materials?

Yes
No