Name of Personal Adviser*

Date of your appointment*

Location (school, college, etc)*

What did you discuss at this meeting? Point 1*

Please scale your discussion Point 1*
1. I have been given useful information and I am now clear about my next steps2. I feel I have made progress with this3. The meeting has helped me a bit but I still need a lot more help4. The meeting has not helped with my questions

What did you discuss at this meeting? Point 2*

Please scale your discussion Point 2*
1. I have been given useful information and I am now clear about my next steps2. I feel I have made progress with this3. The meeting has helped me a bit but I still need a lot more help4. The meeting has not helped with my questions

What did you discuss at this meeting? Point 3*

Please scale your discussion Point 3*
1. I have been given useful information and I am now clear about my next steps2. I feel I have made progress with this3. The meeting has helped me a bit but I still need a lot more help4. The meeting has not helped with my questions

What was useful about this meeting?*

What else could have been done?

Is there anything else you would like to say?

Your name*

Cultural/Ethnic Background*

Gender*

Age *