| S. No. | Questions | Very dissatisfied | Dissatisfied | Neutral | Satisfied | Very satisfied |
| 301 | How do you you’re your satisfaction with the waiting room comfort? |
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| 302 | How do you you’re your satisfaction with the waiting time (within a short period of time)? |
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| 303 | How do you you’re your satisfaction with the counseling room comfort? |
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| 304 | How do you you’re your satisfaction with the privacy of the counseling room? |
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| 305 | How do you you’re your satisfaction with the adequacy of time for counseling? |
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| 306 | How do you you’re your satisfaction with the counselors respect for you? |
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| 307 | How do you you’re your satisfaction with the service providers confidentiality and trustworthiness? |
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| 308 | How do you you’re your satisfaction with the counselors explanation about different issues? |
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| 309 | How do you you’re your satisfaction with the counselors competence? |
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| 310 | How do you you’re your satisfaction with your overall satisfaction with the service you received? |
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