Concern EAP New Client Feedback Survey

1.My first session was ________________________.

an in person session.

a video visit.

a telephone session.

2.The scheduler that helped me was named

Albretta

Linda

Jessica

I do not remember their name

Someone else

3.Scheduling the appointment was easy.

4.Speaking with the scheduler felt comfortable.

6.When I was with the counselor I felt accepted not judged.

7.My counselor understood me and my feelings.

8.I found that the session was helpful.

9.Overall, I would rate my experience at Concern EAP as positive.

10.Please provide positive or negative feedback along with any other questions or comments that you have below. Also if you would like to be contacted please provide your name along with the best way to contact you (phone number, email address, etc.)

11.I plan to or already have scheduled a follow up appointment.

Yes

No

Maybe

12.Please provide an email address if you would like to be followed up with regarding your experience with Concern.