Feedback: Services for Youth Clients - HELP AUCKLAND

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#act2HELP

Feedback:
Services for Youth Clients
(School Year 9-13)

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Feedback - Services for Youth Clients (School Year 9-13)

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 *

Please select what school year you are in. *

Year 9 Year 10 Year 11 Year 12 Year 13

Q. 1: What ethnic groups do you identify with? Please tick as many as apply. *

Maori Pakeha Samoan Tongan Cook Islands Niuean Other Pacific European Chinese Other Asian Fijian Indian Other

Comment: *

Q. 2: Approximately how many counselling sessions did you have with your HELP counsellor? Please circle the appropriate number and make comments if you wish. *

0-5 5-15 16-40 41 or more

Comment *

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

Q. 3: How well were you treated by the HELP counsellor - were you welcomed? Treated with respect? *

1 2 3 4 5

Comment *

On a scale of 1-5, with 5 being very clearly, and 1 being not at all:

Q. 4: How well did your counsellor explain to you what counselling might be like? *

1 2 3 4 5

Comment *

On a scale of 1-5, with 5 being smaller, and 1 being bigger:

Q. 5: Do the worries you had when you first came to counselling seem smaller or bigger? *

1 2 3 4 5

In what ways? *

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

Q. 6: How helpful was the counselling? *

1 2 3 4 5

In what ways? *

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

Q. 7: If you were seen at your school, was it useful that the HELP counsellor came to see you at your school? *

1 2 3 4 5

Why? *

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

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

1 2 3 4 5

Comment: *

Q. 9: Would you contact us in future if you needed assistance? *

Yes Don't know No

Comments *

Q. 10: Would you have preferred: *

A counsellor with the same culture A counsellor with the same religion or sexual identity Counselling out of school hours

Comment *

Thank you for your assistance in giving feedback.

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We are always open

Telephone

09 623 1700

Email

info@helpauckland.org.nz

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