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Veterans Line Review Questionnaire

VIEWS: 13 PAGES: 1

Veterans Line Review Questionnaire

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									                                                  Veterans Line Review Questionnaire
INSTRUCTIONS
1: Please answer ALL questions
2: Save the Questionnaire
                (by clicking the SAVE button at the end of this page, or by selecting File, Save As)
3: Submit the questionnaire to VVCS
                (by clicking the EMAIL button at the end of this page)
QUESTIONNAIRE
1.   Which of the following best
                                      Please select an option
     describes you?
2.   Which State or Territory do
     you live?                        Please select an option

3.   How many times have you
                                      Please select an option
     used Veterans line in the last
     twelve months?
4.   How well do you feel the         Please select an option
     counsellor understood your
     problem(s)?
5.   How constructive was the         Please select an option
     counsellor in discussing
     these problems with you?
6.   Compared with other similar
                                      Please select an option
     health services how would
     you rate Veterans line?
7.   How successful was calling
     Veterans line in assisting you   Please select an option
     to manage your problems?

8.   Overall, how satisfied are you
                                      Please select an option
     with the Veterans line
     service?
9.   Would you recommend the
                                      Please select an option
     Veterans line service to
     others?
10. Please comment on anything
    about Veterans line that you
    are especially satisfied or
    dissatisfied with:




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                                                                                                       D9174 08/09 P 01/01

								
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