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Home
About Us
Our Vision & Values
Our Work
Trust Board Members
Privacy, Complaints & Rights
HELP Satisfaction Surveys
Our Supporters
Get HELP
24/7 HELPline
24/7 Support
HELP for Pre-Schoolers
HELP for Young People
HELP for Adults
HELP for Parents & Caregivers
HELP for Family & Partners
HELP for Professionals
Services
Crisis Support
Therapy
Justice
Community
Other Agencies in Auckland
Get Info
HELP's Blog
Info for Survivors, Family & Friends
Videos
Prevention
Sexual Abuse Statistics
Sexual Abuse Myths Busted
FAQ's
Academic Research & Reports
Excellent Websites
Get Involved
Donate To HELP
Fundraise for Us
Leave A Legacy to HELP
Become A Sponsor
EvasWish
Jobs & Training
Subscribe to our newsletter
Volunteer With Us
Contact Us
#DoSomethingHELPful
Feedback - Services for Adults
Ph: 623 1700 - 24/7.
We regularly seek feedback from clients to assist us in providing the best possible service.
Your Name
*
First
Last
Your Email
*
Phone Number
*
On a scale of 1 - 5, with 5 being
treated very wel
l
, and 1 being
not treated well
:
Q. 1: How well do you feel that you have been treated at HELP – did you feel welcome, treated with respect, were things explained clearly etc?
*
1
2
3
4
5
Comment:
*
On a scale of 1 - 5, with 5 being
very comfortable
, and 1 being
not comfortable
:
Q. 2: How comfortable did you find the building? (e.g. waiting room, seating, temperature, cleanliness, coffee & tea etc)
*
1
2
3
4
5
Comment:
*
On a scale of 1 - 5, with 5 being
much improved,
3 being
no change
and 1 being
seems worse
:
*
Indicates required field
Q. 3: Overall, what change has there been in the problem (s) which led you to seek help?
*
1
2
3
4
5
Comment:
*
On a scale of 1 - 5, with 5 being
a lot
, and 1 being
not at all
:
Q.4 To what degree do you think that the assistance you received at HELP contributed to this change?
*
1
2
3
4
5
Comment:
*
Q. 5: Wast the completion of your counselling / therapy at HELP:
*
Agreed together
Your decision
The counsellor's decision
Due to funding ending
If your decision, please comment:
If your decision, please comment:
*
Q. 6: What is your ethnicity? Please tick all those which apply.
*
Maori
Pakeha
Samoan
Tongan
Cook Islands
Niuean
Other Pacific
European
Chinese
Other Asian
Fijian Indian
Other
Q. 7: What Age Group Are You In?
*
15-19
20-29
30-39
40-49
50-59
60-69
70+
Q. 8: Approximately how many sessions have you had in the most recent period of counselling at HELP?
*
0-5
5-15
16-40
41-80
81+
Thank you for your assistance in giving feedback.
If you chose 'Other', please describe:
*
Choose One
*
Option 1
Option 2
Option 3
Submit
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