In 2011, "Counseling at the Crossroads: The perspectives and promise of school counselors in American education," the largest survey of high school and middle school counselors in the United States with over 5,300 interviews, was released by Pat Martin and Dr. Vivian Lee by the National Office for School Counselor Advocacy, the National Association of Secondary School Principals, and the American School Counselor Association. The study shared school counselors' views on educational policies, practices, and reform, and how many of them, especially in urban and rural school settings, were not given the chance to focus on what they were trained to do, especially career and college access and readiness counseling for all students, in part due to high caseloads and inappropriate tasks.