Please enable JavaScript in your browser to complete this form.Your response to this evaluation form is extremely important to us. We are interested in your honest opinions, whether they are positive or negative. Your comments and suggestions assist us in monitoring and in improving our services. We thank you in advance for your help. The information provided is confidential. For each statement below, please indicate how much you agree or disagree. Please circle the number representing your feelings about that statement.As a result of my counseling at Anchorpoint I have experienced improvements in my.... * (1) Strongly Disagree(2) Disagree(3) Neutral(4) Agree(5) Strongly Agree Symptoms (presenting problems)Symptoms (presenting problems) (1) Strongly DisagreeSymptoms (presenting problems) (2) DisagreeSymptoms (presenting problems) (3) NeutralSymptoms (presenting problems) (4) AgreeSymptoms (presenting problems) (5) Strongly AgreeAttitudeAttitude (1) Strongly DisagreeAttitude (2) DisagreeAttitude (3) NeutralAttitude (4) AgreeAttitude (5) Strongly AgreeSelf-ControlSelf-Control (1) Strongly DisagreeSelf-Control (2) DisagreeSelf-Control (3) NeutralSelf-Control (4) AgreeSelf-Control (5) Strongly AgreeCoping SkillsCoping Skills (1) Strongly DisagreeCoping Skills (2) DisagreeCoping Skills (3) NeutralCoping Skills (4) AgreeCoping Skills (5) Strongly AgreeRelationshipsRelationships (1) Strongly DisagreeRelationships (2) DisagreeRelationships (3) NeutralRelationships (4) AgreeRelationships (5) Strongly AgreeInsightInsight (1) Strongly DisagreeInsight (2) DisagreeInsight (3) NeutralInsight (4) AgreeInsight (5) Strongly Agree My Counselor at Anchorpoint treated me…. * (1) Strongly Disagree(2) Disagree(3) Neutral(4) Agree(5) Strongly Agree RespectfullyRespectfully (1) Strongly DisagreeRespectfully (2) DisagreeRespectfully (3) NeutralRespectfully (4) AgreeRespectfully (5) Strongly AgreeCompassionatelyCompassionately (1) Strongly DisagreeCompassionately (2) DisagreeCompassionately (3) NeutralCompassionately (4) AgreeCompassionately (5) Strongly AgreeProfessionallyProfessionally (1) Strongly DisagreeProfessionally (2) DisagreeProfessionally (3) NeutralProfessionally (4) AgreeProfessionally (5) Strongly AgreeCollaborativelyCollaboratively (1) Strongly DisagreeCollaboratively (2) DisagreeCollaboratively (3) NeutralCollaboratively (4) AgreeCollaboratively (5) Strongly AgreeCompetentlyCompetently (1) Strongly DisagreeCompetently (2) DisagreeCompetently (3) NeutralCompetently (4) AgreeCompetently (5) Strongly AgreeWith UnderstandingWith Understanding (1) Strongly DisagreeWith Understanding (2) DisagreeWith Understanding (3) NeutralWith Understanding (4) AgreeWith Understanding (5) Strongly Agree Counseling has changed/impacted my life by: *Additional comments or concerns:Your Age: *MessageSubmit