Masters Level interns providing FREE mental health therapy services. Growing the next generation of mental health counselors while bridging the gap for those needing mental health counseling services.

Gap to Growth Experience Evaluation

Thank you for completing this evaluation. It is important to us that we are creating meaningful internship/practicum experiences as well as providing quality mental health services to our community. You are receiving this evaluation because you have facilitated a student placement here, or have coordinated referrals with our interns.

Name *

First Name

Last Name

Email *

I agree to CCS using using feedback from this form (specifically comments) for purposes including, but limited to, advertising for the program, recruiting board members, and seeking funding. Names will not be shared. *

Yes

My student/client/patient/etc. benefited from Gap to Growth Program. *

Completely Disagree

Disagree

Neutral or N/A

Agree

Completely Agree

My student/client/patient/etc. reported quality services in the Gap to Growth Program. *

Completely Disagree

Disagree

Neutral or N/A

Agree

Completely Agree

This program is a valuable asset to the community. *

Completely Disagree

Disagree

Neutral or N/A

Agree

Completely Agree

I would refer additional student/client/patients to this organization. *

Completely Disagree

Disagree

Neutral or N/A

Agree

Completely Agree

The program/organization was easy to work with. *

Completely Disagree

Disagree

Neutral or N/A

Agree

Completely Agree

What do you think is the MOST valuable component of this program? *

What do you think is the LEAST valuable component of this program? *

Any other feedback? *

Thank you for your time in completing this evaluation. Your work an dedication to the counseling field is appreciated!

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First Name

Last Name

Email Address

Thank you!

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CCS is not a crisis center~ If you are experiencing thoughts of self harm or suicide dial 988

:::

CCS is not a crisis center~ If you are experiencing thoughts of self harm or suicide dial 988 :::

CCS does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, gender identity, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, visitors, volunteers, board members, subcontractors, vendors, and clients.