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
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
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
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?
Very helpful

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

Why not?

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


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
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