PYS Closing Survey

Your feedback helps us to make PYS a better place. Your answers are confidential and will be stored in a secure location. You will not be identified and your feedback will be combined with others. Please speak your mind!

Question 1. Please indicate your gender

Question 2. Please indicate your age

Question 3. How long have you been receiving services from PYS (not including time spent on the wait list)

Less than 3 months
Less than 6 months
Less than 1 year
More than 1 year

Question 4. I have participated in the following services (please check all that apply)

Intake
Brief services while on the waitlist
Counselling

Question 5. Please check the box that best describes your answer below

N/A

1 (very unhappy)

5 (very happy)

My experiences at reception have been positive.

N/A

1 (very unhappy)

5 (very happy)

My intake was helpful and oriented me to PYS services.

N/A

1 (very unhappy)

5 (very happy)

The PYS office felt welcoming.

N/A

1 (very unhappy)

5 (very happy)

I received services that were a good fit for me.

N/A

1 (very unhappy)

5 (very happy)

PYS staff spoke with me in a way I understood.

N/A

1 (very unhappy)

5 (very happy)

The PYS staff stuck with me no matter what.

N/A

1 (very unhappy)

5 (very happy)

I got the help I wanted.

N/A

1 (very unhappy)

5 (very happy)

PYS staff treated me with respect.

N/A

1 (very unhappy)

5 (very happy)

I worked on things that are important to me.

N/A

1 (very unhappy)

5 (very happy)

I felt comfortable with my counsellor.

N/A

1 (very unhappy)

5 (very happy)

I learned some new skills and/or tools to help me manage my situation better.

N/A

1 (very unhappy)

5 (very happy)

Staff respected my identity, values and beliefs.

N/A

1 (very unhappy)

5 (very happy)

I was comfortable talking to my counsellor about whether or not sessions were going well.

N/A

1 (very unhappy)

5 (very happy)

Overall, I believe that the issues that brought me to PYS have improved as a result of PYS services.

N/A

1 (very unhappy)

5 (very happy)

Question 6. Looking back on your experience on a whole, what has been the most helpful thing about PYS’ services?

7. What would improve the services at PYS?

Question 8. If I were to need further help in the future, I would return to PYS.

If not, then why?

Question 9. Without anyone knowing who you are, may we use your comments in our reports and/or our printed materials?

Question 10. Want to stay connected and/or talk about your feedback? Leave us your contact information and we will keep you in the loop/contact you! You can leave your phone number or email

PYS Closing Survey

Your feedback helps us to make PYS a better place. Your answers are confidential and will be stored in a secure location. You will not be identified and your feedback will be combined with others. Please speak your mind!

Question 1. Please indicate your gender

Question 2. Please indicate your age

Question 3. How long have you been receiving services from PYS (not including time spent on the wait list)

Question 4. I have participated in the following services (please check all that apply)

Question 5. Please check the box that best describes your answer below

Question 6. Looking back on your experience on a whole, what has been the most helpful thing about PYS’ services?

7. What would improve the services at PYS?

Question 8. If I were to need further help in the future, I would return to PYS.

Question 9. Without anyone knowing who you are, may we use your comments in our reports and/or our printed materials?

Question 10. Want to stay connected and/or talk about your feedback? Leave us your contact information and we will keep you in the loop/contact you! You can leave your phone number or email

Question 11. If you would like to stay in the loop, please send me updates on what’s going on at PYS!

Question 12. I would like to talk about my feedback in more detail, please contact me!