Evaluation of Care first counselling services



This questionnaire, once completed by you anonymously, is used by Care first to evaluate the service we provide to our clients and your organisation. It would therefore be extremely useful to us if you would complete this form and return it to us.

If you would like a response to your evaluation of Care first please add your name and address to your comments in the final comments box.

Please complete the electronic form below and press Submit when you have finished.

Organisation
Department - where applicable


For telephone contact:

1)

 Did you contact Care first initially via the freephone telephone service?
Comments:

2)

 If so, was your call answered promptly?
Comments:

3)

 Did you feel your call was dealt with appropriately?
Comments:

4)

 Did you find the telephone counsellor's manner helpful?
Comments:

5)

 Telephone counsellor's name


For face to face contact:

6)

 Did you find the counsellor's manner and approach helpful?
Comments:

7)

 How soon after contacting Care first did you see a counsellor?




8)

 Was the timing acceptable to you?
Comments:

9)

 Was the room where you saw the counsellor easily accessible, comfortable and private?


For face to face and telephone contact:

10)

 Was the problem for which you sought help affecting your attendance and/or performance at work?
   (if 'NO', please go to Question 14)

11)

 Did the counselling/information from Care first enable you to:
Remain at work:
Return to work:

12a)

 Did your work-performance improve after counselling?

12b)

 Would you have taken time off work to deal with your concerns if counselling had not been available?

13)

 Overall, were you satisfied with the service you received?
Comments:

14)

 What effect do you think counselling has had in the following areas of your work and personal life?
Your self-confidence:
Your relationship with colleagues at work:
Your relationship with your family/friends:
Your job performance:
Your decision making ability:
Your overall enjoyment of life:
Coming to terms with difficult/painful feelings:

15)

 Face-to-face counsellor's name:

16)

 Please use this space to make any additional comments about Care first:
Comments:


From time to time, as part of awareness-raising of the benefits of the service, Care first or your employer may wish to quote anonymously comments made about the service. Confidentiality and anonymity are always preserved.

If you would prefer your feedback not to be included, please tick this box.