Adult Client Therapy Feedback
    Ph: 0800 623 1700 - 24/7.

    We regularly seek feedback from clients to assist us in providing the best possible service.
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Section 1

On a scale of 1 - 5, with 1 being not treated very well and 5 being treated very well:

Q. 1: How well do you feel that you are being treated at HELP - do you feel welcome and treated with respect?

*
Not treated very well
Treated very well
Comment:
On a scale of 1 - 5, with 1 being very uncomfortable and 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)
*
Very uncomfortable
Very comfortable
Comment:
On a scale of 1 - 5, with 1 being a lot worse, 3 being no change and 5 being much improved:

Q. 3: Overall, what change has there been in the problem(s) which led you to seek help?
*
A lot worse
Much improved
What's improved?
What's not improved?
On a scale of 1 - 5, with 1 being not at all, and 5 being a lot:

Q.4 To what degree do you think that the assistance you received at HELP contributed to this change?
*
Not at all
A lot
Comment:
On a scale of 1 - 5, with 1 being unhelpful, and 5 being very helpful:

Q.5: If you used the 24 hour telephone support line, how helpful was it?
*
Unhelpful
Very helpful
Comment:

Q.6 : Would you return to HELP if you felt a need for further assistance in the future?

*
Why?
Why not?

Q. 7: Was there anything about the service that you experienced as being insensitive or inappropriate to you culturally?

*
Comment:

Q8. Please describe anything about the service you would have preferred to have been different.

On a scale of 1 - 5, with 1 being not satisfied, and 5 being very satisfied:

Q. 9: Overall, how satisfied were you with the service you receive from HELP?
*
Not satisfied
Very satisfied
Comment:
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