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Counseling feedback survey template

Check in after every session, in the client's own words

Four questions for after a counseling or coaching session: how the session felt, how heard the client felt, whether the pace was right and what they want to bring up next time. Use it as it is or change any question, and Usertick reads every written answer for you.

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What this counseling feedback survey tells you

A counseling feedback survey asks clients about the session itself: how it felt, whether they felt heard, whether the pace suited them and what they want to raise next time. This template takes under a minute and asks about the working relationship, never about the client's history or what was discussed.

It is written for the hours after each session, sent by Usertick email to the clients seen that day or as a link in the message your booking system sends. Clients answer in their own time, away from the room, which can make it easier to be honest about a session that felt off.

Results shows the faces from difficult to very helpful with each share, the average on the feeling-heard scale with a column per step, and the split of too fast, about right and too slow. The written answer is read as it arrives and filed under a category such as staff and communication, with a type and an urgency.

In an emailAs a linkOn your websiteAs a conversation
Questions
4
Time to answer
About a minute
Written for
The hours after each session, by email or a link from your booking system
Plans
Every plan, the free plan included

See it on every channel

The same template on your website, behind a link, in an email and as a conversation.

In an email

Send it from Usertick to a contact list, and a button in the email opens the survey on its own page. Usertick sends 50 emails a month on the free plan, or connect your own sender.

The 4 questions, one by one

What each question asks, why it is there, what it shows you and what to change.

Question 1 of 4 · Mood dial

How did today's session feel?

Why ask it
The dial's faces run from difficult through heavy and okay to very helpful, because a useful session can still feel heavy. The client turns to the face that matches the session.
What you learn
Faces from unhappy to happy, each with its share, against the period before. Read Difficult and Heavy beside the feeling-heard scale, since a heavy session where the client felt heard can be a good one.
Make it yours
In the email, a dial shows as a button that opens the survey, and the rest of the survey follows on the hosted page.
Question 2 of 4 · Big scale

How much did you feel heard?

Why ask it
Feeling heard sits at the center of the working relationship between a counselor and a client, and it is something a counselor can change from one session to the next.
What you learn
The average and a column per step from 1 to 10, compared with the period before. Select the low columns to read what those clients want to bring up next time.
Make it yours
Keep the ends at Not at all and Completely, so a 10 always means the client felt fully heard.
Question 3 of 4 · Multiple choice

The pace of the session was

Why ask it
A session that moves too fast or too slowly can leave a client feeling rushed or stuck, even when the content was right. Three options make the answer one tap.
What you learn
A donut with the share and count of too fast, about right and too slow, and the stacked shares over time.
Make it yours
With several counselors, add a Dropdown with each counselor's name, since Results doesn't split answers by the tag on a link.
Question 4 of 4 · Text · Optional

Is there anything you'd like to bring up next time?

Why ask it
The last question invites clients to set part of the next session's agenda, which tells the counselor what to come back to.
What you learn
Each answer with its sentiment and theme, filterable by theme, with up to 8 themes and their trends. Usertick also marks each one as a question, an idea, a complaint or praise and flags the urgent ones.
Make it yours
Use the placeholder to ask for a topic in a few words, so clients can raise a subject without writing out the details.

What the answers show

Results turns each question into numbers you can follow week by week.

The pace of the session was

The share of each answer with its count. Select an answer to narrow the whole page to those people and read what else they said.

Every written answer, read for you

Each answer arrives with its category, theme, type and urgency, so the urgent ones reach your team first.

Use this template in four steps

From the template to the first answers.

  1. 1

    Open the template

    Sign up free and pick Counseling session check-in in the template gallery. It opens in a matching style, ready to change.

  2. 2

    Make the questions yours

    Reword any question, change the options, and add logic or more questions.

  3. 3

    Choose where it runs

    Show it on your website, send it by email, share its link and QR code, or switch it to a conversation.

  4. 4

    Publish and read the answers

    Answers arrive in Results and the inbox as people send them, each written one read and filed by Usertick.

Tips for this survey

Small choices that keep people answering and the answers useful.

  1. 01

    Point clients to urgent help

    Add a message screen at the start or the end that says where to get help right away, since your team may not read an answer the moment it arrives.

  2. 02

    Ask after every session

    Turn off Skip people who already received this survey, which is on by default, so each client can answer after every session.

  3. 03

    Offer a route without names

    A survey sent through Usertick email is tied to the client's contact. For feedback on the service as a whole, share a second copy by link or QR code with anonymous responses turned on.

  4. 04

    Keep session content out

    Ask how the session felt, never what was discussed. Usertick's terms don't allow health records or medical details in surveys, and Usertick doesn't sign business associate agreements.

Churn surveysPatient satisfaction surveysEmail surveysTherapy and well-being questions

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Questions from the library

Browse the question library
  1. How are you feeling today?Mood dial · Therapy and well-being
  2. How much progress do you feel you are making?Big scale · Therapy and well-being
  3. For sessions you preferThis or that · Therapy and well-being
  4. How easy was it to book your shot?Customer effort · Vaccination visits
  5. How many minutes were you in the clinic in total?Ruler · Vaccination visits
  6. Were you told what to expect afterward?Yes / No · Vaccination visits

Frequently asked questions

A few hours after the session, when the client has had time to reflect and still remembers it clearly. Send it from Usertick or put the link in your booking system's follow-up message.

After every session suits a short check like this one. Turn off Skip people who already received this survey so the same clients can answer each time.

Yes. The questions ask about the session and the working relationship, so they fit coaching as well as counseling. Change the wording of the dial to match how you work.

Yes, by link or QR code with anonymous responses turned on. A survey sent through Usertick email stays tied to the client's contact, so the counselor can see who answered.

Bring it up at the start of the next session, in the client's own terms. Read the pace answer and the written answer first, so you know whether the session felt rushed, stuck or unheard.

Yes. Every template comes with every plan, the free plan included, and the free plan covers 150 responses a month across your surveys.

Yes. The template becomes your own survey, so reword any question, add or remove questions, and change the options and the logic. The gallery stays as it is.

Yes, from Starter. The template is written in US English. Add languages by hand or with AI translation, and each person sees the survey in their browser's language.

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