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Service Provider Feedback Survey


NSW Rape Crisis is currently seeking feedback from service providers who have contact either directly, or through their client, with the counselling service. Your feedback will help us to improve services to our clients and to improve working relationships with other services.

The survey is completely voluntary and can be completed anonymously, however we would appreciate if you could indicate where you work.

About Your Service (Optional)

1. I work at
About You

2. What is your profession? (please tick one):



3. How many years experience have you had in this profession? (please tick one):

4. How long have you been working with a Sexual Assault Service? (please tick one):


About Us

5. How did you first hear about the counselling services provided by the NSW Rape Crisis Centre? (please tick one):






6. Have you ever referred clients to the NSW Rape Crisis Centre, 1800 RESPECT or MYLine counselling service? (please tick one):

7. Have you ever received a client who was referred to you by the NSW Rape Crisis Centre, 1800 RESPECT or MYLine counselling service? (please tick one):

8. What are some of the reasons why you would refer a client to us? (please tick all that apply):
9. What are some of the reasons why you would not consider referring a client to us? (please tick all that apply):
Other, please specify
10. What do you think are the strengths of the counselling services provided by the NSW Rape Crisis Centre?
11. What do you think are the limitations of the counselling services provided by the NSW Rape Crisis Centre?
12. What would you like to see NSW Rape Crisis Centre counselling services doing for your clients and/or your service?
13. Is there any feedback that you would like to provide us that will help us improve our service?
14. Any other comments?
 
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