Papakura Support and Counselling Centre
Client Evaluation

In order to evaluate the effectiveness of our counselling service, we are asking you to take a few minutes to fill in this form. It is hoped that the information you supply will help to provide a better service to you and future clients. Please complete and return the form as soon as possible in the Post Paid envelope provided, or to PO Box 72-909, Papakura. Your participation in this evaluation is very important to us and we thank you very much for your time.

Client’s Name:
Counsellor’s Name:

1. Are you, or were you comfortable with the counselling you received here?
Comments:

2. Are you, or were you comfortable with your counsellor?
Comments:


3. How has counselling helped to improve your well-being, or that of your family?  

4. From a cultural perspective, were your needs met within the agency and within your counselling relationship?


If not, how could we have done this better?

5. Please comment on the overall service you received from this agency, taking into consideration your first contact, length of time to wait for your first appointment, the welcome you received, and anything else you consider might improve our service.

Any other comments?

Thank You.