Whitsunday Counselling and Support
Client Services Feedback Form

Whitsunday Counselling and Support is committed to ensuring all people who access their service are provided with a high
level standard of care.  To ensure this, we ask you to complete the survey below to assist us maintaining this.  Each survey is kept private and confidential.

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* 1. What is your first impression of entering the facility?

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* 2. How did you feel when entering the service?

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* 3. Was confidentiality explained in your contact with practitioner?

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* 4. Were your expectation of the service met?

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* 5. Did you feel the support you received was professional?

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* 6. Were your expectations met?

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* 7. Were you treated with respect?

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* 8. From entry to exit, did you receive competent and professional service?

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* 9. Were you able to apply new skills and knowledge to your relationship/s or situations?

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* 10. Would you recommend this service to others?

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* 11. We invite your comments about any aspect of the service you have received -what was useful or beneficial, what can be improved etc

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* 12. Which program relates to you?

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