Counselling Survey
Q1.
How did you find out about the counselling service offered by the Oncology/Breast Unit?
From a leaflet
From a member of staff involved in your care
Other
Q2.
Once it was agreed that a referral to the counsellor would be helpful, how long was it before the counsellor contacted you?
0-7 days
7-14 days
Other
Q3.
Were you happy with the response time?
Yes
No
Q4.
Did you feel that the counselling referral was made at the appropriate time for you?
Yes
No
Q5.
Once your counselling started, how easy was it for you to make contact with the counsellor if you needed to?
Very easy
Easy
Not easy
Very difficult
Not applicable
Q6.
Did you proceed with counselling?
Yes
No
Q7.
How many sessions with the counsellor did you have?
One session
Two to five sessions
Six to ten sessions
Other
Q8.
Would you have liked more sessions?
Yes
No
Q9.
Were you taught any relaxation Techniques?
Yes
No
If YES, did you find this a useful technique to help you manage your anxiety?
Yes
No
Q10.
Were you taught other methods of managing Stress?
Yes
No
If YES, were they helpful?
No
Yes
Q11.
Would you find it helpful to be offered complementary therapies such as aromatherapy massage and reflexology?
No
Yes
Q12.
Did you find the room in which the counselling session took place:

Comfortable?
Yes
No

Welcoming?
Yes
No

Offered privacy?
Yes
No
Please use this space to make any further comments on the room:
Q12.
How would you rate the usefulness of seeing the counsellor?
Very helpful
Helpful
Ok
Unhelpful
Very unhelpful
Q13.
In what ways have you found the counselling helpful or unhelpful?
Q14.
Please use this space to elaborate on your answers or to make any further comments:
Thank you for your time


This survey was created byKeyPoint