Student Feedback Questionnaire: Health and Counselling Services

Service or interaction for which you are providing feedback*

Health Services
Counselling Services

Date of service or interaction (if known)

Type of Interaction*

Commitment to Service Excellence

Health and Counselling Services embraces principles of Service Excellence in all that we do by striving to be caring, professional, reliable, courteous and treating each person as an individual.

(1) For the interaction you are commenting on, the staff member assisting you was:*

(2) Was the issue you were seeking help with resolved?*

Yes
No

If not, were you provided feedback or resources for follow-up?

Yes
No

Commitment to Inclusive Culture

Health and Counselling Services values respectful, diverse, accessible and equitable environments and continuously strives towards inclusion.

With respect to the interaction you are commenting on:*

Additional Feedback

(4) I would rate my overall experience with this interaction as:*

(5) What else would you like to share to help enhance exceptional programming, services and initiatives?

	Strongly Disagree	Disagree	Agree	Strongly Agree
Helpful
Considerate
Knowledgeable

	Strongly Disagree	Disagree	Agree	Strongly Agree
I felt respected
I felt my perspective mattered
I felt I was treated fairly
I felt supported
Services were accessible for my needs

Student Feedback Questionnaire: HCS

Commitment to Service Excellence

Commitment to Inclusive Culture

Additional Feedback