ࡱ> UWT)`  bjbj 86 P|||8$t V:XX\\\9999999$;h@>99\\4:"8\\99a4X6\L J$|R5(7&:0V:5\?d\?P6\?699l"V:      $4L : Sample client feedback questionnaire Financial Counselling Program This client feedback is confidential. DateType of service receivedLocationThink about when you first came to financial counselling; did you have any problems with the service? Please circle one option. [For people new in the last 12 months] 4 Dont know3 No problems2 Some problems1 Many problemsIf you had problems, please describe them: How helpful or unhelpful do you feel the financial counselling was? Please select one option. 5 Very helpful4 Helpful3 Neither helpful or unhelpful2 Unhelpful1 Very unhelpfulWhat do you feel was most helpful, if anything, about the financial counselling? Please describe. What do you feel was least helpful, if anything, about the financial counselling? Please describe. What do you feel you have achieved, if anything, during your time with a financial counsellor? Please describe. How careful or careless do you feel our staff are about the privacy and confidentiality of your information? Please selection one option. 5 Very careful4 Careful3 Neither careful or careless2 Careless1 Very carelessWhy do you feel our staff are careful or careless, if at all, about the privacy and confidentially of your information? Please describe. How respectful or disrespectful were our staff to you? 5 Very respectful4 Respectful3 Neither respectful or disrespectful2 Disrespectful1 Very disrespectfulWhy do you feel our staff were respectful or disrespectful, if at all, to you? Please describe. Do you have any other feedback about the financial counselling? Please describe. Thank you for completing this questionnaire. The information you have provided will be treated confidentially and used only to improve our programs in the future.     %DEJKQRijk   > ? 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