WEIOP Feedback

WEIOP Feedback Form

The purpose of this feedback section is to ensure that the WEIOP is delivering meaningful programming. Please feel free to share your thoughts on our clinical services.

Just for our records could you share what stage or treatment you are currently in?

In Treatment

Completed Treatment

Withdrawn from Treatment

On a scale of 1 to 5, please evaluate the following regarding your experience in the WE-IOP 8-week group program:

To what extent do you think the information you learned in the program will be helpful in your everyday life?

1 - Extremely Unhelpful

2 - Somewhat Unhelpful

3- Neutral

4 - Somewhat Helpful

5 - Extremely Helpful

To what extent did you find the use of videos helpful for your learning experience?

1 - Extremely Unhelpful

2 - Somewhat Unhelpful

3- Neutral

4 - Somewhat Helpful

5 - Extremely Helpful

To what extent did you find group discussions helpful for your learning experience?

1 - Extremely Unhelpful

2 - Somewhat Unhelpful

3- Neutral

4 - Somewhat Helpful

5 - Extremely Helpful

Comments:

How safe & comfortable did you feel sharing in the group?

1 - Extremely Unhelpful

2 - Somewhat Unhelpful

3- Neutral

4 - Somewhat Helpful

5 - Extremely Helpful

Comments:

To what extent did you find the presence of your IOP therapists in group helpful for your sense of safety sharing?

1 - Extremely Unhelpful

2 - Somewhat Unhelpful

3- Neutral

4 - Somewhat Helpful

5 - Extremely Helpful

Comments:

To what extent did you find the presence of your IOP therapists in group helpful for your sense of safety sharing?

1 - Extremely Unhelpful

2 - Somewhat Unhelpful

3- Neutral

4 - Somewhat Helpful

5 - Extremely Helpful

Comments:

What concepts presented in group were you most interested in?

Were there any concepts in group that you felt were not as relevant or useful?

Are there any concepts you would have liked to see in group, that were not included?

Any Additional Comments?

Your feedback is incredibly valuable. We sometimes use anonymous or attributed quotes from clients/service recipients in reports or media campaigns. Do you consent to have your written feedback and/or comments from this form being used ?

Yes

If you answered "Yes" to the question above, please indicate how you would allow your feedback to be used in a testimonial:

I consent to my feedback being used and attributed with my name (e.g., "Jane D. Smith, Attendee")

I consent to my feedback being used anonymously (e.g., "A presentation attendee")

If you would like to be attributed, please provide your Name (Optional):