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Counseling Center Student Satisfaction Survey
Thank you for completing this anonymous survey! Your feedback will be used to improve and publicize the Counseling Center's services.
Question 1
What is your gender?
Male
Female
Question 2
What is your age?
Please enter numeric
Question 3
What is your academic classification?
Freshman
Sophomore
Junior
Senior
Graduate or Law
Other (please specify)
Other (please specify)
Question 4
What is your ethnicity? (Check all that apply)
American Indian/Alaskan
Asian/Pacific Islander
Black/African-American
Caucasian
Latino/a, Hispanic
International
Other (please specify)
Other (please specify)
Prefer not to respond
Question 5
What is your sexual orientation?
Heterosexual
Gay
Lesbian
Bisexual
Unsure
Prefer not to respond
Question 6
Who was your primary counselor?
Select Answer
Adriana Molina
Chris Burden
Deanna DeBlaere
Karen Lese-Fowler
Katie Furcolo
Kenneth Allen
Kristin Byington
Lauren Woolley
Mark Jesinoski
Maribel Bradberry
Moisés Barón
Steve Sprinkle
Sylvie Marques
Tamara Ho
Vanessa Weinbach
Not sure
Question 7
What initially brought you to the Counseling Center? (Check all that apply)
Personal problems
Academic problems
Disciplinary problems
Psychiatric medication
Referred by Health Services
Consultation about another person
Other (please specify)
Other (please specify)
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