Understanding consumers' concerns about vocational rehabilitation services is important because of the current emphasis on empowerment and consumer-directed services. This study focused on participants' responses to an open-ended survey question that asked them what they thought could be done to improve their satisfaction with a vocational rehabilitation program. Participants were employed and unemployed consumers of vocational rehabilitation services. The responses were analyzed using a form of qualitative content analysis. The analysis resulted in the development of four categories: concerns about general counseling skills, concerns about program-specific counseling skills, concerns about treatment outside of counseling sessions, and concerns about education and employment. The implications of the findings for program improvement and counselor training are also discussed.