Client Feedback Form As one of our service users we would appreciate it if you would please take a few minutes to complete our questionnaire regarding the services we deliver. The purpose of this is to provide our team with information about how our clients view the work we do. We aim to view and act on any feedback where appropriate. Any information given on this questionnaire is treated with complete confidentiality. Some questions are mandatory fields, where as others, which are optional are indicated as such. Name [optional] Please indicate which service you have used:(required) Counselling Suport Line Support Work If you used counselling or support work, and would like to tell us the name of your therapist, please do so here [optional] When did your service start?(required) When did your service end?(required) If you used Support Line, how did you find the service [optional] Very helpful Helpful Neither Unhelpful Very Unhelpful If you used Counselling Service or support work, how did you find the service [optional] Very helpful Helpful Neither Unhelpful Very Unhelpful How likely are you to recommend our Support Line Service [optional] Highly Likely Likely Somewhat Unlikely Highly Unlikely How likely are you to recommend our Counselling Service or support work [optional] Highly Likely Likely Somewhat Unlikely Highly Unlikely How did you find accessing or receiving your appointment/calls(required) Easy Neither Difficult nor Easy Difficult Did the service you used meet your individual needs(required) Yes No Would you use our service again(required) Yes No Is there any part of our service that you think could be improved(required) Finally, do you have ant other comments or feedback for us [optional] THANK YOU – PLEASE CLICK HERE TO SUBMIT YOUR FEEDBACK Δ
