Weber State University



CMU Counseling Center

Demographics Spring, 2005

|Gender: Class Standing: Age: Race: Please mark one box to indicate the race group which you think best applies to you: |

|Male 9 Freshman 9 17 or less 9 23-25 9 Hispanic |

|Female 9 Sophomore 9 18 9 26-29 9 White (except Hispanic) |

|9 Junior 9 19 9 30-39 9 Black (except Hispanic) |

|9 Senior 9 20 9 40-49 9 Am. Indian, Eskimo, or Aleut |

|9 Graduate 9 21 9 50-61 9 Asian or Pacific Islander |

|9 Other 9 22 9 62 or over |

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|Are you an INTERNATIONAL student? 9Yes 9 No Are you MULTIRACIAL*? 9 Yes 9 No |

| |

|* For purposes of this question, you are Multiracial if you have parents from more than one of the broad race categories listed above or if at least one of your|

|parents is Multiracial. |

Use of CMU Counseling Center Services

|How many different CMU Counseling Center counselors have you seen? 9 9 9 9 9 9 |

|1 2 3 4 5 6 |

| |

|Approximately how many individual counseling sessions have you had with counselors from the CMU Counseling Center? |

| |

|9 9 9 9 9 9 9 9 9 |

|1 2-3 4-6 7-9 10-12 13-15 16-20 21-30 31 or more |

| |

|Have you attended a Counseling Center support group? 9 Yes 9 No |

| |

|If yes, how many groups have you attended? 9 9 9 9 9 9 9 9 9 9 |

|1 2 3 4 5 6 7 8 9 10 |

| |

|Who do you consider your primary CMU Counseling Center counselor? |

| |

|9 Michelle Bigard 9 Melissa Hutchinson 9 Cory Cole 9 Colleen Milligan |

| |

|9 Ross Rapaport 9 Gary Silker 9 Sharon Tilmann |

Satisfaction with Services

For the items which refer to the counseling you have received at the CMU Counseling Center, answer based upon your interactions with the person you specified as your primary counselor.

|Reception staff friendliness............................................ 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Waiting area comfort..................................................... 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Waiting area privacy...................................................... 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|How long you waited to get an appointment................... 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Convenience of office location....................................... 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Helpfulness of Counseling Center website..................... 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Getting through to the office by phone........................... 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Trust in the confidentiality of the Counseling Center...... 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Number of counseling sessions received....................... 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Explanation of the counseling process........................... 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Competence of your counselor...................................... 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Personal manner of your counselor............................... 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Overall helpfulness of meeting with your counselor....... 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Overall outcome of meeting with your counselor........... 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Overall quality of the services you received.................. 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Number of counseling sessions available to you........... 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

|Overall satisfaction with the Counseling Center............ 9 Poor 9 Fair 9 Good 9 Very Good 9 Excellent |

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Outcomes of Counseling

Please use the scale below to indicate whether or not the following possible results or outcomes of counseling occurred for you due to the counseling you received from the CMU Counseling Center. The outcomes could be either a direct or indirect result of the counseling you received.

1 = not an outcome of my counseling

2 = slight outcome of my counseling

3 = significant outcome of my counseling

|Greater understanding of my problems ............................................................. 9 1 9 2 9 3 |

|Improved ability to choose how to respond to problem situations....................... 9 1 9 2 9 3 |

|Increased self-understanding............................................................................. 9 1 9 2 9 3 |

|Accepted responsibility for myself..................................................................... 9 1 9 2 9 3 |

|Developed new skills for interacting with other people....................................... 9 1 9 2 9 3 |

|Overcame problems from my past.................................................................... 9 1 9 2 9 3 |

|Increased self-acceptance................................................................................ 9 1 9 2 9 3 |

|Obtained new and helpful information.............................................................. 9 1 9 2 9 3 |

|Learned how to more effectively face and deal with problems.......................... 9 1 9 2 9 3 |

|Increased appreciation of my unique strengths................................................. 9 1 9 2 9 3 |

|Made behavior changes that will help improve my life...................................... 9 1 9 2 9 3 |

|Positive outlook for the future........................................................................... 9 1 9 2 9 3 |

|Improved my ability to identify, accept, and appropriately express feelings....... 9 1 9 2 9 3 |

|Improved my ability to communicate with others............................................... 9 1 9 2 9 3 |

|Greater attention to my stress management...................................................... 9 1 9 2 9 3 |

|Greater attention to my emotional health........................................................... 9 1 9 2 9 3 |

|My goals for counseling were achieved.............................................................. 9 1 9 2 9 3 |

|Counseling resulted in my being able to be more effective as a student............. 9 1 9 2 9 3 |

|Counseling helped me find a career direction..................................................... 9 1 9 2 9 3 |

|Counseling played a role in my staying in college............................................... 9 1 9 2 9 3 |

|Counseling helped me improve my GPA............................................................ 9 1 9 2 9 3 |

What are negative outcomes you experienced as a result of counseling received from the CMU Counseling Center? _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ What are positive outcomes you experienced as a result of counseling received from the CMU Counseling Center? _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Has the counseling you received from the CMU Counseling Center directly or indirectly helped you in your school work, classes, or your ability to continue in college? If yes, please explain: ___________________________________________ ______________________________________________________________________________________________________________________________________________________________________________________________________________ Any comments or suggestions for us to improve our services? _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Thank you for taking the time to complete and return this questionnaire!

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