The DHA Employee Assistance Program is interested in evaluating services provided to clients. The following questions are designed to help us improve our services. In addition, your comments can help you determine your own progress and to indicate ways you may want additional assistance. Your responses are Confidential and anonymous. Please mark the response that most closely matches your opinion. DHA EAP program was helpful in addressing my concerns. Strongly AgreeNo OpinionDisagreeStrongly Disagree Your responses are Confidential and anonymous. DHA EAP responded promptly to my request for service. Strongly AgreeNo OpinionDisagreeStrongly Disagree Your responses are Confidential and anonymous. I was understood by the DHA EAP Professional. Strongly AgreeNo OpinionDisagreeStrongly Disagree Your responses are Confidential and anonymous. If I needed, I would contact DHA EAP again. Strongly AgreeNo OpinionDisagreeStrongly Disagree Your responses are Confidential and anonymous. I would recommend DAH EAP services to others Strongly AgreeNo OpinionDisagreeStrongly Disagree Your responses are Confidential and anonymous. My concern interfered with my work performance or productivity. Strongly AgreeNo OpinionDisagreeStrongly Disagree Your responses are Confidential and anonymous. My work performance improved after using DHA EAP. Strongly AgreeNo OpinionDisagreeStrongly Disagree Your responses are Confidential and anonymous. My coping ability improved through contact with DHA EAP. Strongly AgreeNo OpinionDisagreeStrongly Disagree Your responses are Confidential and anonymous. My experience with DHA EAP was treated confidentially. Strongly AgreeNo OpinionDisagreeStrongly Disagree Your responses are Confidential and anonymous. Overall, I was satisfied with the serviceI received from DHA EAP. Strongly AgreeNo OpinionDisagreeStrongly Disagree Your responses are Confidential and anonymous. I was satisfied with the services I received from the resource to which I was referred. Strongly AgreeNo OpinionDisagreeStrongly Disagree Your responses are Confidential and anonymous. I consulted with DHA EAP professional in personby phoneat workat DHA office Please write suggestions or other comments Your input is very valuable to all of us at DHA EAP. Thank you for taking the time to complete this important questionnaire. Sincerely, David Hugo, President Need assistance with this form?
The DHA Employee Assistance Program is interested in evaluating services provided to clients. The following questions are designed to help us improve our services. In addition, your comments can help you determine your own progress and to indicate ways you may want additional assistance. Your responses are Confidential and anonymous.
Please mark the response that most closely matches your opinion.
Your input is very valuable to all of us at DHA EAP. Thank you for taking the time to complete this important questionnaire.
Sincerely,
David Hugo, President
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Proud Member of Fulton and Montgomery Chamber of Commerce Use our Member to Member Chamber Discounts Program Managers: David & Danielle Hugo, P.O. Box 367 - Broadalbin, NY 12025 Phone: 518.883.3817, Fax: 518.883.3817 Email: dhugo@dhugoandassoc.com