CUSTOMER SURVEY

Would you please be kind and give us feedback to improve our service.
How to answer: Please give your answer by ticking the box or circling your choice. Should you wish to give your feedback in writing please use the given space at the end of the answer form. Thank you!

1. Gender

Im an immigrant

3. Age

4. Life situation

5. Work

6. Have you sought help from SOS Crisis Centre before?

7. What was you reason to contacting us?

8. Mark from one to five your evaluation of the service you received from SOS Crisis Centre
5 = highest...1 = lowest

a) Did you find easy to seek help from SOS Centre?

b) How were you received during your appointments?

c) Was the help you got professional?

d) Were there enough appointments?

e) Was the help enough to get you through your crisis?

f) Would you recommend us to others? *

9. How has the help affected Your
5 = a lot...0 = not at all
5
4
3
2
1
0
socisl relations
work
concentration
sleep
mood
strength
coping in general
functioning in everyday life

10. Where there any other effects from the help you received in the Crisis Centre (positive or negative)?

11. Would you like to give us any other feedback?

Thank you for you time!