Guidance Counseling Evaluation Form
Please complete this form to evaluate the counseling session and provide feedback on the counselor's performance.
Evaluator's Full Name
*
First Name
Last Name
Evaluator's Role
*
Please Select
Student
Parent/Guardian
Teacher
Administrator
Other
Date of Counseling Session
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Counselor's Name
*
Student's Name (if applicable)
Type of Counseling Session
*
Individual
Group
Career Guidance
Academic Counseling
Personal/Social Counseling
Other
Please rate the following aspects of the counselor's performance:
*
Rows
Excellent
Good
Fair
Poor
Communication Skills
1
2
3
4
Listening Ability
5
6
7
8
Empathy and Understanding
9
10
11
12
Professionalism
13
14
15
16
Ability to Provide Useful Guidance
17
18
19
20
How satisfied are you with the outcome of the counseling session?
*
Not Satisfied
1
2
3
4
Very Satisfied
5
1 is Not Satisfied, 5 is Very Satisfied
What were the main concerns or topics discussed during the session?
What did you find most helpful about the session?
Suggestions for improvement or additional comments
Submit Evaluation
Should be Empty: