Client Survey
This survey is intended to evaluate the efficacy of the HHP Peer-led Advocacy programme to help us better understand the impact and tailor it to serve our clients better.

If you are completing this application on behalf of someone else, please answer the questions as that person would answer them. If you have any questions or problems completing this form, please email advocacy-and-digital-literacy-ni@humanhealthproject.org for assistance.
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Who is completing this application? *
Client's First Name *
Client's Last Name *
Client's Email Address *
Peer-Led Advocacy Programme
Please read the instructions for each section carefully.
What support are you looking for from the peer advocate? (select all that apply) *
Required
Section A.
Instructions: Please rate your agreement with the following statements on scale strongly disagree, disagree, neither, agree, strongly agree.
*Select NA if you do not feel that you have been in the programme long enough to make a selection.
I was matched with an advocate in a timely manner *
My advocate has the skills to help me with my issue *
My advocate clearly understands my situation *
My advocate communicates effectively *
Section B.
Instructions: Please rate the quality of the following on scale: poor, fair, good, very good, excellent.
*Select NA if you do not feel that you have been in the programme long enough to make a selection.

The overall organization of the advocacy programme *
The overall support provided by your peer advocate *
The communication with your peer advocate *
How would you rate the healthcare education provided? *
Section C.
Instructions: Please rate how your own understanding/ability of the following on scale: poor, fair, good, very good, excellent:
My overall understanding of my own health/condition is: *
My overall understanding of the healthcare system is: *
My overall understanding of the legal system (related to healthcare) is: *
My overall ability to navigate the healthcare system is: *
Section D.
Instructions: Please rate your agreement with the following statements on scale strongly disagree, disagree, neither, agree, strongly agree:
I feel empowered when it comes to my health *
I advocate for myself within the healthcare system *
I have sufficient information to navigate the healthcare system on my own *
Section E.
Please tell us a little about your mental well being, so we can focus on areas important to you.
How have you been doing managing your mental health? *
How would you rate your daily living skills( including self care)? *
How are you doing with socialization and engagement? *
How are you faring with your family and relationships? *
Section F.
Instructions: Please share your thoughts:
Do you have any additional feedback or thoughts to share regarding the Peer-Led Advocacy programme?
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