EAP Satisfaction Survey

Tell us what you think. We care about your opinion.
Please mark your responses by marking the line corresponding to your answer.

How satisfied were you with:
1. The help you received when you made an appointment?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply
2. How easy it was to get the EAP services you needed?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply
3. Your EAP counselor?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply
4. How the EAP services helped you resolve your problem?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply
5. How the EAP services helped you be more effective in your personal life?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply
6. The overall services you received?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply
7. Would you recommend the EAP to others?

Yes No
Name of EAP Provider:
Location of EAP Provider:
Your Employer:
Comments:
Your EAP: It's Professional - It's Confidential

Your feedback is very important to us and greatly appreciated. Thank You!
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How satisfied were you with: