EAP Client Satisfaction Survey

This survey is being conducted by UCA BeWell and is intended to collect feedback regarding your recent experience with the Arkansas Employee Assistance Program (EAP) provided by UAMS. The survey will take approximately 3 to 5 minutes to complete and your responses will remain anonymous unless you choose to identify yourself. We are committed to maintaining your privacy when utilizing EAP.

	Strongly Agree	Somewhat Agree	Neither Agree or Disagree	Somewhat Disagree	Strongly Disagree	Not Sure/ Does Not Apply
I was treated politely and respectfully during my initial contact with EAP.	I was treated politely and respectfully during my initial contact with EAP. Strongly Agree	I was treated politely and respectfully during my initial contact with EAP. Somewhat Agree	I was treated politely and respectfully during my initial contact with EAP. Neither Agree or Disagree	I was treated politely and respectfully during my initial contact with EAP. Somewhat Disagree	I was treated politely and respectfully during my initial contact with EAP. Strongly Disagree	I was treated politely and respectfully during my initial contact with EAP. Not Sure/ Does Not Apply
Scheduling my first visit was a simple process.	Scheduling my first visit was a simple process. Strongly Agree	Scheduling my first visit was a simple process. Somewhat Agree	Scheduling my first visit was a simple process. Neither Agree or Disagree	Scheduling my first visit was a simple process. Somewhat Disagree	Scheduling my first visit was a simple process. Strongly Disagree	Scheduling my first visit was a simple process. Not Sure/ Does Not Apply
I was seen for my first visit within a reasonable amount of time.	I was seen for my first visit within a reasonable amount of time. Strongly Agree	I was seen for my first visit within a reasonable amount of time. Somewhat Agree	I was seen for my first visit within a reasonable amount of time. Neither Agree or Disagree	I was seen for my first visit within a reasonable amount of time. Somewhat Disagree	I was seen for my first visit within a reasonable amount of time. Strongly Disagree	I was seen for my first visit within a reasonable amount of time. Not Sure/ Does Not Apply
I received clear instructions on where to go for my first visit (this includes receiving adequate instructions for how to access a telehealth or phone visit, as it applies to you).	I received clear instructions on where to go for my first visit (this includes receiving adequate instructions for how to access a telehealth or phone visit, as it applies to you). Strongly Agree	I received clear instructions on where to go for my first visit (this includes receiving adequate instructions for how to access a telehealth or phone visit, as it applies to you). Somewhat Agree	I received clear instructions on where to go for my first visit (this includes receiving adequate instructions for how to access a telehealth or phone visit, as it applies to you). Neither Agree or Disagree	I received clear instructions on where to go for my first visit (this includes receiving adequate instructions for how to access a telehealth or phone visit, as it applies to you). Somewhat Disagree	I received clear instructions on where to go for my first visit (this includes receiving adequate instructions for how to access a telehealth or phone visit, as it applies to you). Strongly Disagree	I received clear instructions on where to go for my first visit (this includes receiving adequate instructions for how to access a telehealth or phone visit, as it applies to you). Not Sure/ Does Not Apply

Strongly Agree

Somewhat Agree

Neither Agree or Disagree

Somewhat Disagree

Strongly Disagree

Not Sure/ Does Not Apply

I was treated politely and respectfully during my initial contact with EAP.

I was treated politely and respectfully during my initial contact with EAP. Strongly Agree

I was treated politely and respectfully during my initial contact with EAP. Somewhat Agree

I was treated politely and respectfully during my initial contact with EAP. Neither Agree or Disagree

I was treated politely and respectfully during my initial contact with EAP. Somewhat Disagree

I was treated politely and respectfully during my initial contact with EAP. Strongly Disagree

I was treated politely and respectfully during my initial contact with EAP. Not Sure/ Does Not Apply

Scheduling my first visit was a simple process.

Scheduling my first visit was a simple process. Strongly Agree

Scheduling my first visit was a simple process. Somewhat Agree

Scheduling my first visit was a simple process. Neither Agree or Disagree

Scheduling my first visit was a simple process. Somewhat Disagree

Scheduling my first visit was a simple process. Strongly Disagree

Scheduling my first visit was a simple process. Not Sure/ Does Not Apply

I was seen for my first visit within a reasonable amount of time.

I was seen for my first visit within a reasonable amount of time. Strongly Agree

I was seen for my first visit within a reasonable amount of time. Somewhat Agree

I was seen for my first visit within a reasonable amount of time. Neither Agree or Disagree

I was seen for my first visit within a reasonable amount of time. Somewhat Disagree

I was seen for my first visit within a reasonable amount of time. Strongly Disagree

I was seen for my first visit within a reasonable amount of time. Not Sure/ Does Not Apply

I received clear instructions on where to go for my first visit (this includes receiving adequate instructions for how to access a telehealth or phone visit, as it applies to you).

I received clear instructions on where to go for my first visit (this includes receiving adequate instructions for how to access a telehealth or phone visit, as it applies to you). Strongly Agree

I received clear instructions on where to go for my first visit (this includes receiving adequate instructions for how to access a telehealth or phone visit, as it applies to you). Somewhat Agree

I received clear instructions on where to go for my first visit (this includes receiving adequate instructions for how to access a telehealth or phone visit, as it applies to you). Neither Agree or Disagree

I received clear instructions on where to go for my first visit (this includes receiving adequate instructions for how to access a telehealth or phone visit, as it applies to you). Somewhat Disagree

I received clear instructions on where to go for my first visit (this includes receiving adequate instructions for how to access a telehealth or phone visit, as it applies to you). Strongly Disagree

	Strongly Agree	Somewhat Agree	Neither Agree or Disagree	Somewhat Disagree	Strongly Disagree	Not Sure/ Does Not Apply
The office in which I received counseling was convenient and comfortable (in-person).	The office in which I received counseling was convenient and comfortable (in-person). Strongly Agree	The office in which I received counseling was convenient and comfortable (in-person). Somewhat Agree	The office in which I received counseling was convenient and comfortable (in-person). Neither Agree or Disagree	The office in which I received counseling was convenient and comfortable (in-person). Somewhat Disagree	The office in which I received counseling was convenient and comfortable (in-person). Strongly Disagree	The office in which I received counseling was convenient and comfortable (in-person). Not Sure/ Does Not Apply
The telehealth visit went smoothly without any technical difficulties (virtual).	The telehealth visit went smoothly without any technical difficulties (virtual). Strongly Agree	The telehealth visit went smoothly without any technical difficulties (virtual). Somewhat Agree	The telehealth visit went smoothly without any technical difficulties (virtual). Neither Agree or Disagree	The telehealth visit went smoothly without any technical difficulties (virtual). Somewhat Disagree	The telehealth visit went smoothly without any technical difficulties (virtual). Strongly Disagree	The telehealth visit went smoothly without any technical difficulties (virtual). Not Sure/ Does Not Apply
The phone visit went smoothly without any technical difficulties (phone).	The phone visit went smoothly without any technical difficulties (phone). Strongly Agree	The phone visit went smoothly without any technical difficulties (phone). Somewhat Agree	The phone visit went smoothly without any technical difficulties (phone). Neither Agree or Disagree	The phone visit went smoothly without any technical difficulties (phone). Somewhat Disagree	The phone visit went smoothly without any technical difficulties (phone). Strongly Disagree	The phone visit went smoothly without any technical difficulties (phone). Not Sure/ Does Not Apply
I was treated politely and respectfully by the counselor.	I was treated politely and respectfully by the counselor. Strongly Agree	I was treated politely and respectfully by the counselor. Somewhat Agree	I was treated politely and respectfully by the counselor. Neither Agree or Disagree	I was treated politely and respectfully by the counselor. Somewhat Disagree	I was treated politely and respectfully by the counselor. Strongly Disagree	I was treated politely and respectfully by the counselor. Not Sure/ Does Not Apply
The counselor was effective in helping me handle my problem or concern.	The counselor was effective in helping me handle my problem or concern. Strongly Agree	The counselor was effective in helping me handle my problem or concern. Somewhat Agree	The counselor was effective in helping me handle my problem or concern. Neither Agree or Disagree	The counselor was effective in helping me handle my problem or concern. Somewhat Disagree	The counselor was effective in helping me handle my problem or concern. Strongly Disagree	The counselor was effective in helping me handle my problem or concern. Not Sure/ Does Not Apply
I would recommend EAP to a coworker or family member.	I would recommend EAP to a coworker or family member. Strongly Agree	I would recommend EAP to a coworker or family member. Somewhat Agree	I would recommend EAP to a coworker or family member. Neither Agree or Disagree	I would recommend EAP to a coworker or family member. Somewhat Disagree	I would recommend EAP to a coworker or family member. Strongly Disagree	I would recommend EAP to a coworker or family member. Not Sure/ Does Not Apply
If needed, I would use EAP again in the future.	If needed, I would use EAP again in the future. Strongly Agree	If needed, I would use EAP again in the future. Somewhat Agree	If needed, I would use EAP again in the future. Neither Agree or Disagree	If needed, I would use EAP again in the future. Somewhat Disagree	If needed, I would use EAP again in the future. Strongly Disagree	If needed, I would use EAP again in the future. Not Sure/ Does Not Apply

Strongly Agree

Somewhat Agree

Neither Agree or Disagree

Somewhat Disagree

Strongly Disagree

Not Sure/ Does Not Apply

The office in which I received counseling was convenient and comfortable (in-person).

The office in which I received counseling was convenient and comfortable (in-person). Strongly Agree

The office in which I received counseling was convenient and comfortable (in-person). Somewhat Agree

The office in which I received counseling was convenient and comfortable (in-person). Neither Agree or Disagree

The office in which I received counseling was convenient and comfortable (in-person). Somewhat Disagree

The office in which I received counseling was convenient and comfortable (in-person). Strongly Disagree

The office in which I received counseling was convenient and comfortable (in-person). Not Sure/ Does Not Apply

The telehealth visit went smoothly without any technical difficulties (virtual).

The telehealth visit went smoothly without any technical difficulties (virtual). Strongly Agree

The telehealth visit went smoothly without any technical difficulties (virtual). Somewhat Agree

The telehealth visit went smoothly without any technical difficulties (virtual). Neither Agree or Disagree

The telehealth visit went smoothly without any technical difficulties (virtual). Somewhat Disagree

The telehealth visit went smoothly without any technical difficulties (virtual). Strongly Disagree

The telehealth visit went smoothly without any technical difficulties (virtual). Not Sure/ Does Not Apply

The phone visit went smoothly without any technical difficulties (phone).

The phone visit went smoothly without any technical difficulties (phone). Strongly Agree

The phone visit went smoothly without any technical difficulties (phone). Somewhat Agree

The phone visit went smoothly without any technical difficulties (phone). Neither Agree or Disagree

The phone visit went smoothly without any technical difficulties (phone). Somewhat Disagree

The phone visit went smoothly without any technical difficulties (phone). Strongly Disagree

The phone visit went smoothly without any technical difficulties (phone). Not Sure/ Does Not Apply

I was treated politely and respectfully by the counselor.

I was treated politely and respectfully by the counselor. Strongly Agree

I was treated politely and respectfully by the counselor. Somewhat Agree

I was treated politely and respectfully by the counselor. Neither Agree or Disagree

I was treated politely and respectfully by the counselor. Somewhat Disagree

I was treated politely and respectfully by the counselor. Strongly Disagree

I was treated politely and respectfully by the counselor. Not Sure/ Does Not Apply

The counselor was effective in helping me handle my problem or concern.

The counselor was effective in helping me handle my problem or concern. Strongly Agree

The counselor was effective in helping me handle my problem or concern. Somewhat Agree

The counselor was effective in helping me handle my problem or concern. Neither Agree or Disagree

The counselor was effective in helping me handle my problem or concern. Somewhat Disagree

The counselor was effective in helping me handle my problem or concern. Strongly Disagree

The counselor was effective in helping me handle my problem or concern. Not Sure/ Does Not Apply

I would recommend EAP to a coworker or family member.

I would recommend EAP to a coworker or family member. Strongly Agree

I would recommend EAP to a coworker or family member. Somewhat Agree

I would recommend EAP to a coworker or family member. Neither Agree or Disagree

I would recommend EAP to a coworker or family member. Somewhat Disagree

I would recommend EAP to a coworker or family member. Strongly Disagree

I would recommend EAP to a coworker or family member. Not Sure/ Does Not Apply

If needed, I would use EAP again in the future.

If needed, I would use EAP again in the future. Strongly Agree

If needed, I would use EAP again in the future. Somewhat Agree

If needed, I would use EAP again in the future. Neither Agree or Disagree

If needed, I would use EAP again in the future. Somewhat Disagree

If needed, I would use EAP again in the future. Strongly Disagree

If needed, I would use EAP again in the future. Not Sure/ Does Not Apply

EAP Client Satisfaction Survey

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* 1. How did you learn or hear about EAP? Select all that apply.

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* 2. Please indicate the extent to which you agree or disagree with the following statements about scheduling your EAP visit.

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* 3. Please indicate the extent to which you agree or disagree with the following statements about your overall experience using EAP.

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* 4. If a referral was made for further services (i.e., therapists, self-help groups, etc.), did you pursue the referral?

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* 5. Please share any additional comments or suggestions for improvement: