This article describes high school students’ awareness, use, and satisfaction with academic, college preparation, career, and personal, social, or emotional school counseling services in a large urban school district. A questionnaire was administered to 701 students in Grades 9 through 12 in spring of 2008. Results indicated that a high proportion of students reported awareness of school counseling services at their school, and students who reported visiting the school counselor for specific services were satisfied with services. However, less than 50% reported visiting the school counseling office at least once for college preparation, career, or personal, social, or emotional services.