Q01
Message
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Non-Profit Counselling Client Experience Survey
Measures how clients experience counselling delivered by a non-profit — trust in their counsellor, progress toward goals, and barriers to attending sessions. Built for program managers and supervisors tracking access gaps and impact for funders. The AI follow-up interview uncovers the story behind each client's progress and recommendation ratings, beyond a simple score.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
13 questions · ~7 min
Q02
Multiple ChoiceRequired
How many counselling sessions have you attended with us so far?
- This is my first session
- 2-4 sessions
- 5-8 sessions
- 9 or more sessions
- I'm not sure
Q03
MatrixRequired
Thinking about your sessions with your counsellor, how much do you agree with each statement?
5 rows × 5 columns
- My counsellor listened to me without judgment
- I felt emotionally safe during sessions
- My counsellor was knowledgeable about the issues I brought up
- The length and frequency of sessions worked for my schedule
- I understood what to expect from the counselling process
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q04
Opinion ScaleRequired
Overall, how much progress have you made toward the personal goals you set for counselling?
Scale: 1 – 7
Min:No progress at allMax:Reached my goals completely
Q05
Multiple Choice
In the last 3 months, what has made it hardest to attend or benefit from sessions? Select all that apply.
- Cost of transportation
- Scheduling conflicts with work or caregiving
- Long wait times between sessions
- Difficulty finding private space for sessions
- Language or cultural barriers
- Technology issues (for phone or video sessions)
Q06
Opinion ScaleRequired
How likely are you to recommend this counselling service to someone in a similar situation?
Scale: 0 – 10
Min:Not at all likelyMax:Extremely likely
Q07
AI InterviewRequired
Explore the story behind the respondent's progress rating: what specific changes, or lack of changes, they've noticed in daily life, thoughts, or relationships since starting counselling. If they reported low progress or flagged barriers, probe exactly what got in the way — scheduling, counsellor fit, session content — and what would have helped. If their recommendation likelihood was low, uncover the root concern rather than accepting a surface answer.
Q08
Long Text
Is there anything about your counselling experience — good or bad — that these questions didn't capture?
Q09
Multiple Choice
Which format works best for your counselling sessions going forward?
- In-person
- Phone call
- Video call
- Text or chat-based
- No strong preference
Q10
Dropdown
How did you first learn about our counselling service?
- Doctor or healthcare provider
- Friend or family referral
- School or workplace
- Another community organization
- Online search or social media
- Walk-in or outreach event
- Other or can't recall
Q11
Multiple Choice
What is your age range?
- Under 18
- 18-24
- 25-34
- 35-44
- 45-54
- 55-64
- 65 or older
- Prefer not to say
Q12
Multiple Choice
How do you describe your gender?
- Woman
- Man
- Non-binary
- Prefer to self-describe
- Prefer not to say
Q13
Message
Thank you for sharing your experience. Your responses are confidential and will be combined with other feedback to help our counselling team improve support and report outcomes to funders.
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Includes a matrix question and opinion-scale ratings on trust, progress, and likelihood to recommend, paired with an AI follow-up interview that asks respondents to explain the story behind their progress and recommendation ratings
- Captures concrete access barriers via a dedicated multiple-choice question on what made sessions hardest to attend in the last 3 months, directly supporting funder reporting on access gaps
- Offers an open long-text question inviting anything the structured questions missed, plus demographic and format-preference questions for segmentation
- Every AI-generated follow-up prompt is transparent and viewable, and responses are automatically scored for quality and rolled into an auto-generated report — no manual coding of open-ended answers required
QuestionPro
Non Profit Counselor Survey Questions + Sample Questionnaire TemplateThis is a directly comparable template covering counselling client feedback for non-profits, with sample questions on counselor interaction and service quality. It reads as a static questionnaire reference rather than a platform showcasing adaptive follow-up interviewing. Question sets appear to rely on fixed-choice and rating items without any voice-based or conversational component.
What it does well
- Purpose-built for non-profit counseling feedback, so question wording is domain-relevant
- Backed by a large, established survey platform with broad template library and distribution tools
- Provides a ready sample questionnaire that can be adapted quickly
Where it falls short
- No adaptive AI follow-up interview to probe the reasoning behind a rating — respondents can't be asked to elaborate in the moment
- No voice AI interview option for clients who prefer speaking over typing
- No indication of automated per-response quality scoring or transparent AI prompt methodology
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.