Client Feedback Survey

In an effort to continually improve our services we are asking all clients to participate in an evaluation. Do not put your name on the form, the information you provide is entirely CONFIDENTIAL. Your honest responses will help us provide you with the best possible service.

 
01. Company Name:
02. How did you learn about the HumanaCare Employee and Family Assistance Program?
Training Co-worker Supervisor
Brochure Mail Out Other:
03. Were you greeted in a professional and friendly manner on your initial phone call?
Very Professional/Friendly Average Unprofessional/Unfriendly
Professional/Friendly   Very Unprofessional/Unfriendly
04. How long did it take from initial contact to your first counselling session?
within 24 hours within 3 days within 5 days beyond 5 days
Did this meet your requirements? Yes No
If not, why?
05. Was it easy to arrange an appointment time that would fit with your schedule? Yes No
06. How many counselling visits have you had to date?
07. What was your HumanaCare Counsellor's Name?
08. How comfortable did you feel with this counsellor?
Very Comfortable Average Uncomfortable
Comfortable   Very Uncomfortable
09. Would you recommend this counsellor to co-workers, family or friends?
Yes Probably Unsure Not Likely No
Please elaborate:
10. How would you rate your counsellor in the following areas?
Being on time: Excellent Good Fair Poor
Professional: Excellent Good Fair Poor
Understanding of issues: Excellent Good Fair Poor
Meeting your counselling needs: Excellent Good Fair Poor
Please elaborate:
11. Would you recommend HumanaCare to friends, family or co-workers?
Yes Probably Unsure Not Likely No
If no, please explain:
12. Was there any service or help you expected or needed from HumanaCare that you did not receive?
Yes No
If yes, please explain:
13. At the end of counselling, did your job performance or personal situation improve?
A great deal A fair amount Some Slightly
14. Do you feel that an Employee and Family Assistance Program is a valuable benefit for you, your family and your organization?
Very valuable Some value Little value No value at all
15. Overall how would you rate HumanaCare?
Excellent Good Fair Poor
16. We are looking for ways to improve. Do you have any comments or suggestions for us?