Community Counselling - Client Consultation

Question Title

* 1. Is this the first time you have used Community Counselling?

Yes

No, I have used them in the past

Question Title

* 2. Which stage are you currently at in your client journey with us?

Waiting for assessment

Assessed and awaiting start of therapy

In therapy (eg. counselling or EMDR)

Completed therapy

Other (please specify)

Question Title

* 3. Did you receive your "Initial Assessment" within 28 days of being referred or making contact with Community Counselling?

Yes

Question Title

* 4. Which counselling service(s) are you currently or have you engaged with?
(Please tick all that apply)

Brief counselling

Victim Counselling Service

Adult survivors of sexual abuse

Eye Movement Desensitisation and Reprocessing (EMDR)

Options (chargeable service)

Relationship Counselling

Employee Assistance Programme (EAP)

Other (please specify)

Question Title

* 5. How would you rate the support you received from Community Counselling?

Excellent

Good

Below standard

Poor

Question Title

* 6. What is your experience of Community Counselling personnel?

Extremely friendly

Very friendly

Somewhat friendly

Not so friendly

Not at all friendly

Question Title

* 7. How did you hear about Community Counselling and our services?

Through family or friends

Referred by GP/Doctor

Referred by other NHS service

Referred by other agency

Local advertising/poster

Social media

Internet search

Other (please specify):

Question Title

* 8. How likely are you to recommend Community Counselling to others?

Very likely

Likely

Unlikely

Very unlikely

Question Title

* 9. How easy was it for you to access or attend our service?

Very easy

Easy

Difficult

Very difficult

Question Title

* 10. Did you face any of the following challenges when accessing our service?
(Please tick all that apply)

Limited transport or travel options.

Financial restrictions.

Inconvenient appointment times.

Location of venue.

Securing childcare.

Work commitments.

Caring responsibilities

Other (please specify)

Question Title

* 11. Have you visited any of the following Community Counselling venues?
(Please tick all that apply)

Stanley Harrison House, Norton

Church House, Whitby

Green Lane Centre, Whitby

Scarborough Citizens Advice

Scarborough Counselling & Psychotherapy Training Institute

Evron Centre, Filey

Falsgrave Community Resource Centre

Other (please specify)

Question Title

* 12. How would you rate the venue you visited?

Excellent, this was a good environment for my session

Good, I was happy with the environment for my session

Below standard, I didn't feel comfortable for my session

Poor, I don't think this environment was suitable for my session

Question Title

* 13. Please add any additional comments or suggestions regarding the venue you visited:

Question Title

* 14. Would you be interested in joining or attending a Peer Group?

Yes

Question Title

* 15. How would you rate Community Counselling services overall?

Very high quality

High quality

Low quality

Very low quality

Community Counselling - Client Consultation - 2020

Introduction

Question Title

* 1. Is this the first time you have used Community Counselling?

Question Title

* 2. Which stage are you currently at in your client journey with us?

Question Title

* 3. Did you receive your "Initial Assessment" within 28 days of being referred or making contact with Community Counselling?

Question Title

* 4. Which counselling service(s) are you currently or have you engaged with?
(Please tick all that apply)

Question Title

* 5. How would you rate the support you received from Community Counselling?

Question Title

* 6. What is your experience of Community Counselling personnel?

Question Title

* 7. How did you hear about Community Counselling and our services?

Question Title

* 8. How likely are you to recommend Community Counselling to others?

Question Title

* 9. How easy was it for you to access or attend our service?

Question Title

* 10. Did you face any of the following challenges when accessing our service?
(Please tick all that apply)

Question Title

* 11. Have you visited any of the following Community Counselling venues?
(Please tick all that apply)

Question Title

* 12. How would you rate the venue you visited?

Question Title

* 13. Please add any additional comments or suggestions regarding the venue you visited:

Question Title

* 14. Would you be interested in joining or attending a Peer Group?

Question Title

* 15. How would you rate Community Counselling services overall?

Question Title

* 16. Please enter your email below if you would be willing to share your story to showcase the impact of Community Counselling:

Question Title

* 17. Please tell us anything you would like to be improved and why?

Question Title

* 18. Please explain what additional services Community Counselling could provide to support you or your family:

Community Counselling - Client Consultation - 2020

Introduction

Question Title

* 1. Is this the first time you have used Community Counselling?

Question Title

* 2. Which stage are you currently at in your client journey with us?

Question Title

* 3. Did you receive your "Initial Assessment" within 28 days of being referred or making contact with Community Counselling?

Question Title

* 4. Which counselling service(s) are you currently or have you engaged with?(Please tick all that apply)

Question Title

* 5. How would you rate the support you received from Community Counselling?

Question Title

* 6. What is your experience of Community Counselling personnel?

Question Title

* 7. How did you hear about Community Counselling and our services?

Question Title

* 8. How likely are you to recommend Community Counselling to others?

Question Title

* 9. How easy was it for you to access or attend our service?

Question Title

* 10. Did you face any of the following challenges when accessing our service?(Please tick all that apply)

Question Title

* 11. Have you visited any of the following Community Counselling venues?(Please tick all that apply)

Question Title

* 12. How would you rate the venue you visited?

Question Title

* 13. Please add any additional comments or suggestions regarding the venue you visited:

Question Title

* 14. Would you be interested in joining or attending a Peer Group?

Question Title

* 15. How would you rate Community Counselling services overall?

Question Title

* 16. Please enter your email below if you would be willing to share your story to showcase the impact of Community Counselling:

Question Title

* 17. Please tell us anything you would like to be improved and why?

Question Title

* 18. Please explain what additional services Community Counselling could provide to support you or your family:

* 4. Which counselling service(s) are you currently or have you engaged with?
(Please tick all that apply)

* 10. Did you face any of the following challenges when accessing our service?
(Please tick all that apply)

* 11. Have you visited any of the following Community Counselling venues?
(Please tick all that apply)