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It is important for Phoenix Counselling Service to receive feedback from counselling users of this service in order to maintain and improve the quality and range of the service provided. We would ask you to spare a few minutes to complete this questionnaire to share with us your experience of receiving a service from Phoenix. Thank you for your co-operation
Please be assured that the information you give on this questionnaire is confidential and cannot be attributed to you.
( Circle the Response you agree with )
A) Age Younger than 25 25 to 45 46 - 65 over 65
B) Describe your ethnic origin .........................................................................
C) How did you hear of our service?
Phone Book Internet GP Brochure Other ( state ) ............................
D) How do you rate the information you received about the service?
Poor Adequate Good
E) Do you have special needs? Yes / No ( describe )
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1) How do you rate the information you received about the service?
( Circle your Response ) Slow Adequate Good
2) How would you rate the speed of response you received from us?
( Circle your Response ) Slow Adequate Good
3) Was the timing of your sessions acceptable to you? Yes / No
4) Was the venue for your sessions acceptable to you? Yes / No
5) Were you satisfied with your counsellor / therapist? Yes / No
6) Do you feel the counselling you received was helpful? Yes / No
7) Would you use this service again? Yes / No
If your answer to any of the above was “no” please give reasons and add any further comments/suggestions about the service here:-
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