[form] Name[text,r_name,30] Email [text,r_email,30] FEEDBACK reflections on the services you have received You have this link because you were invited to give some feedback in regard to a course you have completed or a course of therapy you have completed in regard to a personal issue for which you sought online counselling. What services are you giving feedback on? [checkbox,email counselling online]Online Counselling via forms and email [checkbox,chat counselling online]Online Chatroom counselling [checkbox,telephone counselling]Telephone counselling [checkbox,correspondence course]A Correspondence course from the LEARNING HOW options. What is the percentage of Difference between when you started the course and where you are now [list,difference after online course] [option,Choose,Choose Assessment Level] [option,Not at all 0%,0% Not worth mentioning] [option,10%,10%] [option,20% improvement,20% improvement] [option,30%,30%] [option,40%,40%] [option,50% improvement,50% improvement] [option,60%,60%] [option,70% ,70%] [option,80%,80%] [option,90% Quite a bit of difference,90% Quite a bit of difference] [option,100% Not really the same person now,100% Don't feel I am the same person now] [/list] [textarea,comments on the difference,3,70,My comments on the differences now after therapy...] Was the process difficult to follow? [list,following of the process] [option,Choose,Choose Assessment Level] [option,Not at all 0%,0% Yes very difficult to follow] [option,10%,10%] [option,20% yes had to work at it,20% Yes had to work hard at following ] [option,30%,30%] [option,40%,40%] [option,50% Average ,50% Some parts hard but some parts okay] [option,60%,60%] [option,70% Good,70% Easy enough with a little focus] [option,80%,80%] [option,90% Quite good,90% Mostly clear to follow] [option,100% Cant fault it,100% Cannot find anything significantly difficult with it] [/list] [textarea,comments on process,3,70,My comments on the process...] IF it is about online counselling, Did you feel that your issue was assessed accurately? [list,assessment of my issue] [option,Choose,Choose Assessment Level] [option,Not at all 0%,0% Not worth mentioning] [option,10%,10%] [option,20% Not close enough,20% Not close enough] [option,30%,30%] [option,40%,40%] [option,50% Average but effective,50% Average but effective] [option,60%,60%] [option,70% Good,70% Good Assessment some things missed] [option,80%,80%] [option,90% Quite good,90% Quite a good close assessment] [option,100% Cant fault it,100% Cannot find anything significant wrong with it] [/list] [textarea,comments on assessment,3,70,My comments on the assessment processes...] Would you use this service again or recommend it to people you know who need it? [list,use again and recommend] [option,0,Select your reflection here] [option,I would not use it again or recommend,I would not use it again or recommend it to others] [option,I would consider using it again,I would consider using it again if I needed to] [option,I would definitely use it again,I would definitely use it again and also recommend it to others] [/list] [textarea,my comments on recommendation,3,70,My comments on using it again or recommending it to others...] How would you rate the Effectiveness of the service you received [list,effectiveness of help received] [option,0,Select your reflection here] [option,was not really helped by it,I was not really helped that much by the service] [option,Helped me better than alone,It helped me better than I could have discovered it alone] [option,Helped me effectively,It helped me quite effectively] [option,helped me more than I imagined it would,It helped me more than I could have imagined it would] [/list] [textarea,my comments on effectiveness,3,70,My comments on the effectiveness of this service...] FEEDBACK: Is there anything you would prefer was changed? [textarea,I wish this was different,3,70,Yes I would prefer...] [checkbox,I have a relapse prevention plan]I have a clear Relapse Prevention Plan? [checkbox,I want the newsletter]I want to stay in touch with the site via our Email Newsletter? [checkbox,please remove my records]I want my registration as a client on this site, and all my records deleted? [checkbox,I want more help]I would like more need further help from the Online Counsellor? [checkbox,send copy]CHECK HERE IF you would like a copy of your feedback. It will be emailed to the address you use above. [submit,SEND this Entry][reset,Start Over again] [/form]