Call to schedule your appointment now!

EAP Client Response Survey

Tell us what you think. We care about your opinion.

This form is to be completed after your last EAP session. Please mark your responses by marking the line corresponding to your answer.

How satisfied were you with:

1. The help you received when you called the local or 888 number?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

2. How easy it was to get the EAP services you needed?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

3. Your EAP counselor?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

4. How the EAP services helped you resolve your problem?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

5. How EAP services helped you be more effective on the job?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

6. The overall services you received?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

7. Would you recommend the EAP to other employees?

Yes No

Name of EAP Provider:
Location of EAP Provider:
Your Employer:
Comments:

Your EAP - It's Professional - It's Confidential

Your feedback is very important to us and greatly appreciated. Thank You.

If you would prefer to fill out the form and mail it back, please download the Client EAP Survey as a PDF. Mailing instructions are provided on the form.

Your emotional health is directly linked to your physical health. Click here to visit the site of our Health Coach, Heather Caspersen, to start taking care of your physical well-being.

Client Testimonials:

To see more testimonials, click here.

Send us your testimonials by emailing mail@family-resources.net, or by sending us a message on Facebook.

At Family Resources, bilingual services are available / personal bilingües disponible.

Family Resources of
Greater Nebraska, P.C.

Phone: 308.381.7487
Toll Free: 888.381.7487
Fax: 308.381.2712

Main Office: 3532 West Capital Avenue, Grand Island, NE 68803
Kearney Office: 4111 4th Ave., Suite 18, Kearney, NE 68845 • Ph. 308.698.5101
Ord Office: Ord Professional Center, 314 S. 14th St., Suite 103, Ord, NE 68862
York Office: Bell Clinic, 2011 N. Lincoln Avenue, York, NE 68467

Celebrating 20 Years of Counseling Excellence

Working together to reach your greatest potential!

Call to schedule your appointment now!

EAP Client Response Survey

Tell us what you think. We care about your opinion.

1. The help you received when you called the local or 888 number?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

2. How easy it was to get the EAP services you needed?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

3. Your EAP counselor?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

4. How the EAP services helped you resolve your problem?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

5. How EAP services helped you be more effective on the job?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

6. The overall services you received?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

7. Would you recommend the EAP to other employees?

Yes No

Name of EAP Provider:

Location of EAP Provider:

Your Employer:

Comments:

Your EAP - It's Professional - It's Confidential

Client Testimonials:

Family Resources of
Greater Nebraska, P.C.

Phone: 308.381.7487
Toll Free: 888.381.7487
Fax: 308.381.2712

Main Office: 3532 West Capital Avenue, Grand Island, NE 68803
Kearney Office: 4111 4th Ave., Suite 18, Kearney, NE 68845 • Ph. 308.698.5101
Ord Office: Ord Professional Center, 314 S. 14th St., Suite 103, Ord, NE 68862
York Office: Bell Clinic, 2011 N. Lincoln Avenue, York, NE 68467

Family Resources of Greater Nebraska, P.C. © 2011 • Site by Loup Valley Web Design

Celebrating 20 Years of Counseling Excellence

Working together to reach your greatest potential!

Call to schedule your appointment now!

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Tell us what you think. We care about your opinion.

1. The help you received when you called the local or 888 number? Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

2. How easy it was to get the EAP services you needed? Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

3. Your EAP counselor? Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

4. How the EAP services helped you resolve your problem? Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

5. How EAP services helped you be more effective on the job? Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

6. The overall services you received? Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

7. Would you recommend the EAP to other employees? Yes No

Name of EAP Provider:

Location of EAP Provider:

Your Employer:

Comments:

Your EAP - It's Professional - It's Confidential

Client Testimonials:

Family Resources of Greater Nebraska, P.C.

Phone: 308.381.7487 Toll Free: 888.381.7487 Fax: 308.381.2712

Main Office: 3532 West Capital Avenue, Grand Island, NE 68803 Kearney Office: 4111 4th Ave., Suite 18, Kearney, NE 68845 • Ph. 308.698.5101 Ord Office: Ord Professional Center, 314 S. 14th St., Suite 103, Ord, NE 68862 York Office: Bell Clinic, 2011 N. Lincoln Avenue, York, NE 68467

Family Resources of Greater Nebraska, P.C. © 2011 • Site by Loup Valley Web Design

EAP Client Response Survey

1. The help you received when you called the local or 888 number?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

2. How easy it was to get the EAP services you needed?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

3. Your EAP counselor?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

4. How the EAP services helped you resolve your problem?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

5. How EAP services helped you be more effective on the job?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

6. The overall services you received?

Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply

7. Would you recommend the EAP to other employees?

Yes No

Family Resources of
Greater Nebraska, P.C.

Phone: 308.381.7487
Toll Free: 888.381.7487
Fax: 308.381.2712

Main Office: 3532 West Capital Avenue, Grand Island, NE 68803
Kearney Office: 4111 4th Ave., Suite 18, Kearney, NE 68845 • Ph. 308.698.5101
Ord Office: Ord Professional Center, 314 S. 14th St., Suite 103, Ord, NE 68862
York Office: Bell Clinic, 2011 N. Lincoln Avenue, York, NE 68467