General Feedback / Suggestions Box Form

GENERAL FEEDBACK / SUGGESTIONS BOX FORM

In a continuing effort to ensure maximal efficiency and effectiveness of the provision in our services, the staff of the Faculty and Staff Assistance Program (FASAP) is interested in your feedback on our outreach and educational services.

Please take a few moments to complete the following FASAP Consultation / Workshop Evaluation Form:

Name:
Phone Number:
Email:
Type of consultation / Title of workshop:
Names(s) of FASAP staff providing the consultation / workshop:

Strongly
Disagree Disagree Neutral Agree Strongly
Agree

1. FASAP staff (clinical and support staff) were
    courteous and friendly

2. The FASAP consultant / presenter was knowledgeable
    about the releveant subject matter

3. The consultation / presentation was helpful and
    informative.

4. The consultation / presentation met the intended needs
    and goals

5. The consultation / presentation was enjoyable,
    engaging, and interesting

6. Information was presented in a clear, concise, and
    understandable manner.

7. Any written material offered was helpful and
    informative.

Please provide additional comments that you feel may assist us in developing future consultations / presentations:

Thank you for taking the time to provide us with feedback about our services. We will incorporate your feedback into the development of future consultations / presentations.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
1. FASAP staff (clinical and support staff) were courteous and friendly
2. The FASAP consultant / presenter was knowledgeable about the releveant subject matter
3. The consultation / presentation was helpful and informative.
4. The consultation / presentation met the intended needs and goals
5. The consultation / presentation was enjoyable, engaging, and interesting
6. Information was presented in a clear, concise, and understandable manner.
7. Any written material offered was helpful and informative.