feedback-forms

We strive to provide you with the support you need in order to be successful. If you have accessed our services, we would ask that you complete a feedback form. Completing a feedback form is completely optional. However, we value all information you are able to give us so we can continually work to improve our programs and services.

Credit Counselling Annual Review Feedback

We strive to provide you with the support you need in order to be successful in repaying your debts. Completing this form is completely optional. However, we value all information you are able to give us so we can continually work to improve our programs and services.

I have been on the DRP for years.

Please choose the appropriate number on the scale: 1 = strongly disagree; 5 = Strongly agree

1. I feel like I have received the appropriate amount of support from Family Service PEI in the past year:
 1 2 3 4 5

2. I feel like I am applying new money management skills that are helping me improve my financial situation:
 1 2 3 4 5

3. My financial situation has not changed in the past year:
 1 2 3 4 5

4. Making my monthly payment is usually easy to do:
 1 2 3 4 5

5. I know I can call my Credit Counsellor for support whenever I have trouble making my monthly payment:
 1 2 3 4 5

6. I found the reassessment of my financial situation during my annual review to be helpful:
 1 2 3 4 5

My suggestions for improving the services offered by Family Service PEI are:

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Credit Counselling Client Feedback Questionnaire

Was your initial inquiry addressed in a timely and helpful manner?
 Yes No

How did your appointment take place?
 Face to Face Telephone

Did your counsellor take adequate time to discuss your money management and credit related issues?
 Yes No

In your opinion did your counsellor give you the knowledge and tools required to form a detailed budget that will allow you to improve your current financial status?
 Yes No

In your opinion, did your counsellor adequately explain the importance of being fair to all your creditors in finding a solution to your financial situation?
 Yes No

For scales below please follow the following: 1 being unhappy and 5 being exceeded expectations.

How satisfied were you with the assistance your counsellor offered in identifying the basis of your financial difficulty?
 1 2 3 4 5

How satisfied were you with the assistance your counsellor offered in developing an action plan?
 1 2 3 4 5

In your opinion how was the service you have received from your counsellor?
 1 2 3 4 5

Have you had any interaction with the receptionist?
 1 2 3 4 5

If yes, what was your opinion of the service you have received from our Receptionist?
 1 2 3 4 5

Overall how satisfied were you with the service Family Service PEI provided?
 1 2 3 4 5

What was the most helpful piece of information you took away from your appointment today?

What city, town, or community do you live in?

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Therapeutic Program Client Feedback Questionnaire

We value your input. Please fill out this form as a way of letting Family Service PEI and your Therapist know how we can improve the services we offer.

Please use the following scale to complete this form.
1 - Strongly Disagree
2 - Somewhat Disagree
3 - No Strong Feeling
4 - Somewhat Agree
5 - Strongly Agree

My Therapist …

… listened to me  1 2 3 4 5
… understood things from my point of view  1 2 3 4 5
… focused on what was important to me  1 2 3 4 5
… did not judge me  1 2 3 4 5
… showed warmth toward me  1 2 3 4 5
… created a safe and trusting environment  1 2 3 4 5
… began and finished on time  1 2 3 4 5
The results of therapy:
I am satisfied with the approach taken during my session(s)  1 2 3 4 5
The therapeutic process met my needs  1 2 3 4 5
The concerns that brought me to FSPEI have improved as a result of my appointments  1 2 3 4 5
Overall satisfaction:
My initial inquiry was addressed in a timely and helpful manner  1 2 3 4 5
The interaction with other staff left a positive impression  1 2 3 4 5
Overall, I am satisfied with the service provided to me  1 2 3 4 5

What, if anything, could have been done to improve your experience?

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