EAP Services Survey

We would like to know how well we are serving our customers and would appreciate it if you would take a few moments to complete this survey. Please feel free to make comments or suggest improvements. There is space below to provide your name, however, if you do not provide your name this survey will be completely anonymous.

How would you consider your complete experience with the EAP?
EXCELLENTGOODSATISFACTORYPOOR
Overall experience
Would you like someone to follow-up with you regarding your experience?
(Phone number or email address)
While providing your name is not mandatory, providing your name or department will help us analyze the results and target areas for improvement.

If you have a couple more minutes, we would appreciate your answers to the following questions.
If not, you may click the SUBMIT button at the bottom of this form now.

My interaction was
Select the choice that best describes your response to each statement.
STRONGLY AGREEAGREEDISAGREESTRONGLY DISAGREE
During my interaction, I was greeted in a way which made me feel welcome.
The staff member I interacted with exhibited a solid understanding of my question.
The staff member listened and was patient throughout our conversation.
The staff member was courteous, respectful and professional when assisting me.
My situation was handled promptly.
Name of the person who assisted you:
Date if interaction (optional)
Provide as much as possible, but not all fields need to be completed.