Family Works Service Evaluation Form » Presbyterian Support Otago

Name of Family Works staff you saw

The service you used

How did you hear about our service?

Advertising

Word of mouth

Signage

Through a referral form

Other

Your service was easy for me to access

I was satisfied with my relationship with my worker

Your staff helped me meet my goals

Together we helped improve my relationships

Who with?

Family/whanau

Others

Your staff helped me learn useful new skills and strategies

Your staff were accepting and supportive of our cultural needs

Which part of the service did you find most helpful?

What do you think we could do to improve, or add to, our service?

Would you recommend our service to others?

Because

Rate your overall satisfaction of our service

Would you be happy for us to contact you in the future to provide further feedback for service improvement?

Any further comments

Name

Address

Phone