GROUP COUNSELING EVALUATION
We would like your feedback on your experience in the student leadership group. This information is voluntary and will
be kept confidential. We appreciate your honesty and ask that you do not put your name on the sheet so that your
responses will remain anonymous. Your feedback will help us improve our group counseling services. Fill out the form
and return it to Ms. Adams.
For #1-6, please circle the number along the scale that best represents your counseling experience:
Not
Applicable
N/A
Strongly
Agree
5
Agree
4
Neither Agree
or Disagree
3
Disagree
2
Strongly
Disagree
1
1.
The Leadership Traits Questionnaire helped me understand my personal leadership style.
N/A 5 4 3 2 1
2.
The Conflict Style Questionnaire and discussion helped me understand
N/A 5 4 3 2 1
different conflict styles.
3.
The Conceptualizing Leadership Questionnaire gave me a better understanding of
N/A 5 4 3 2 1
leadership.
4.
I feel like I have gained the skills to be a student leader and know how I can positively
N/A 5 4 3 2 1
influence my peers.
5.
I can identify adult allies in the building who can help when situations escalate beyond
N/A 5 4 3 2 1
my control or become unsafe for myself or others.
6.
The student leadership group helped me feel more connected to my classmates.
7.
I am in agreement with the group goal for continuing leadership.
N/A 5 4 3 2 1
(If disagree, please explain)_________________________________________________________________________
N/A 5 4 3 2 1
_________________________________________________________________________________________________
_________________________________________________________________________________________________
8.
What were the best features of this group? ____________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
9.
What didn’t you like or how might the group be changed? ______________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
10.
What is the most important thing you learned about leadership during the group?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
11.
Any other comments on your experience in the group:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Form # 29
Updated 7/17/08