Hurst Place Client Satisfaction Survey

By completing the client satisfaction survey you assist us in evaluating Hurst Place. Your answers/comments to the questions below will provide us with valuable information in evaluating our services and staff, as well as assisting us in ensuring the quality of our program in the future.

Please take a few moments to answer the questions below and give us your written comments, ideas or suggestions regarding the services you received.

Name of Employer covering your EAP services:	Choose an Employer AirbossArt Gallery of HamiltonArzonBlackadar Continuing Care CentreCancoreChoicesClarion Nursing HomeCMH Interns and ResidentsContact - Hamilton WentworthConway Opportunity HomesCSMLSDawn Patrol HomesEcodyneEdson PackagingESMGood ShepherdGroves Memorial HospitalHam. Niagara Hald Brant LHINHamilton SPCAHamilton Specialty BarHamilton Wentworth District School BoardHeartland Credit UnionHHSHillfieldHillfield Strathallan - studentsHillfield Strathallan College - EmployeesHorizon Utilities CorporationHurst PlaceKilian CanadaLynwood Hall Child & Family CentreMitchell Mills SystemsMohawk Hosptial ServicesNetwork ISGNordiaOPTPaling Industries Ltd.St. Joseph Immigrant Centre for WomenSt. Peter's HospitalSt. Peter's Hospital - ChedokeStratford Festival of CanadaToday's FamilyValley CityWalters INCWest Haldimand HospitalWoodview Children's CentreYMCAYWCA
Name of Counsellor you are seeing:
How did you hear about Hurst Place?	Brochure Business Card Co-Worker Family Fridge Magnet Friend Human Resources Newsletter Orientation Poster Supervisor/Manager Website Other

	Very Satisfied	Satisfied	Impartial	Dissatisfied	Very Dissatisfied
How considerate/efficient was our intake process when you called for an appointment?
Convenience/accessibility of office location?
Overall satisfaction with services provided by Hurst Place?
If you were referred to another resource, how satisfied were you with it?
If dissatisfied, please explain

	Strongly Agree	Agree	Impartial	Disagree	Strongly Disagree
Contacting Hurst Place for assistance was a good decision.
Results of EAP had a positive effect on my work/home environment.
I would recommend Hurst Place to a co-worker or family member.
I would call Hurst Place again if required.
Since coming to Hurst Place, I am able to concentrate better at work.
Since coming to Hurst Place my level of job satisfaction has improved.
Since coming to Hurst Place my relationship with co-workers and/or supervisors has improved.
Since coming to Hurst Place I am able to cope better with the demands of my job.
Since coming to Hurst Place my attendance at work has improved.
If I had not come to Hurst Place to deal with my issue/problem I believe my health would have been affected.
Coming to Hurst Place has helped me deal more effectively with my problem/issue.

Additional comments regarding Hurst Place
Check here if you do not wish your employer to receive this anonymous feedback.
Thank you for your time and evaluation of Hurst Place!