Confidential SURVEY

This survey is confidential and your identity will remain anonymous unless you state your name and contact information under the “comments” section.


  1. Check the name of the counselor you saw at FSAO :

    Bonnie Teitleman, LICSW
    Thierry Guedj, Ph.D.


    Please rate your answers to the following questions on a scale of 1 to 5;
    1 being "not at all" and 5 being "a lot".
  2. How much is the problem you sought counseling for at FSAO currently affecting your ability to do your job?

    1 2 3 4 5

  3. How much is the problem you sought counseling for at FSAO currently affecting your personal life?

    1 2 3 4 5

  4. I would recommend the Faculty and Staff Assistance Office to colleagues, family members and others.

    1 2 3 4 5

  5. I was satisfied with the services I received at the Faculty Staff Assistance Office.

    1 2 3 4 5

  6. The professional I worked with understood my problem.

    1 2 3 4 5

  7. My job situation improved after my contact w/FSAO.

    1 2 3 4 5

  8. My personal situation improved after my contact with FSAO.

    1 2 3 4 5

  9. Comments: