Geisel Counseling Survey: Initial Session

Geisel Counseling is committed to the confidentiality of all students we serve. All information shared within this program is treated with respect by the Geisel Counselors and no student identifying information is shared with the Medical School.

(* required info)

From the time you reached out (in person, by phone or email), how long did it take to receive a response from Geisel Counseling? *

< 24 business hours 24-48 business hours 3-7 days > 1 week

How did you learn of Geisel Counseling? *

Classmate/Word of mouth Student affairs information session Faculty member/Coach Staff member Dick's House Staff/Provider Other

Were you able to obtain services at a time that worked with your medical school schedule? *

Yes No

Were you able to obtain services at a location that worked with your medical school schedule? *

Yes No

How satisfied are you with the overall experience with Geisel Counseling? *

Extremely satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Extremely dissatisfied

Please explain your selected response for the question above. *

How likely are you to recommend Geisel Counseling to a classmate? *

0 - would not recommend at all 1 2 3 4 5 - might recommend 6 7 8 9 10

What were the reasons you sought support from Geisel Counseling (check all that apply)? *

Preventive/Improve Wellbeing Stress related to Medical School Stress NOT related to Medical School Adjustment Concern (Loss, Grief, Accident, Illness or Injury) Mood Concern Anxiety Concern Attention /Concentration Concern Academic Concern Sleep Concern Eating Concern Substance use Concern Relationship Concern Other

How important would it be to also have access to a psychiatric provider/prescriber for medications? *

Extremely important Somewhat important Neither important nor unimportant Somewhat unimportant Extremely unimportant

Is there anything else you would like to share about your overall well-being as a medical student or your thoughts/experience seeking support? *

LuxSci: Secure communications