Feedback
Client Feedback Survey


NSW Rape Crisis uses client feedback to improve the services offered.

Your time in completing the client feedback survey is very much appreciated. Just to let you know:

• Doing the survey is completely voluntary;
• You can choose not to answer any question;
• Your answers are completely confidential; and
• You will remain anonymous.

How old are you?
What is your gender?
What is your cultural background?
What is your postcode?
Have you contacted us by (tick all that applies)
Did you contact NSW RCC for yourself or because you where supporting someone else?
Did you have trouble getting in contact with us?



How long ago were you (or the person you are supporting) last assaulted?

How long did it take you to build the courage to contact us?

How did you find out about us?




Have you contacted a telephone/online crisis service before?

Are you currently engaged with any other services at present? (tick all that apply)
How many times have you contacted our service?

How long have you been in contact with us?

How helpful did you find this service?
How understanding did you find the counsellor?
What did you find the most helpful about your contact with this service?
What did you find the least helpful about your contact with this service?
How would you rate your general health and activity before you first contacted us?

a) With regard to your ability to move around, would you say…


b) With regard to self-care, would you say…

c) With regard to your usual activities (e.g. play, work, study, sport, housework, family activities), would you say…

d) With regard to physical pain or discomfort, would you say…

e) With regard to anxiety or depression, would you say…

How would you rate your general health and activity levels now?

a) With regard to your ability to move around, would you say…


b) With regard to self-care, would you say…

c) With regard to your usual activities (e.g. play, work, study, sport, housework, family activities), would you say…

d) With regard to physical pain or discomfort, would you say…

e) With regard to anxiety or depression, would you say…

What did you do after you contacted us? (tick all that apply)
What do you think would have happened if you did not contact our service? (tick all that apply)
Other, Please describe
 
Copyright 2012 NSW Rape Crisis | Terms Of Use | Privacy Statement | Contact Us
Developed byAceNet Solutions