Parents and Caregivers Client Therapy Feedback
    Ph: 0800 623 1700 - 24/7.
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    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:

Q. 2: How comfortable did you find the building? (e.g waiting room, seating, temperature, cleanliness, coffee and tea etc)
*
Very uncomfortable
Very comfortable
Comment:
On a scale of 1 - 5, with 1 being a lot worse 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 receive at HELP is contributing to this change?
*
Not at all
A lot
On a scale of 1 - 5, with 1 being very unhelpful and 5 being very helpful:

Q. 5: If you used the 24 hour telephone support line, how helpful was it?
Very unhelpful
Very helpful
Clear selection
Comment: *
Q. 6: Was there anything about the service that you experienced as being insensitive or inappropriate to you culturally?
*
Comment:
Q. 7: Please describe anything about the service you would prefer to be different.

On a scale of 1 - 5, with 1 being very dissatisfied and 5 being very satisfied:

Q. 8: Overall, how satisfied are you with the service you have received from HELP?

*
Very dissatisfied
Very satisfied
Comment:
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