Crisis Hotline 360 Evaluation Form
Thank you for taking the time to complete the Crisis Hotline 360 Evaluation Form. Your feedback helps us improve our service quality and support experience.
How did you find or hear about the crisis hotline?
*
Please Select
Internet search
Social media
Friend or family
Healthcare provider
Community organization
Other
How quickly was your call or message answered?
*
Immediately
Within a few minutes
Within 10 minutes
Longer than 10 minutes
Not answered
Please rate your overall satisfaction with the crisis hotline.
*
1
2
3
4
5
How helpful was the staff in addressing your concerns?
*
Not helpful
1
2
3
4
Extremely helpful
5
1 is Not helpful, 5 is Extremely helpful
How clearly did the staff communicate with you?
*
Not clear
1
2
3
4
Very clear
5
1 is Not clear, 5 is Very clear
Did you feel respected and listened to during your interaction?
*
Yes, completely
Mostly
Somewhat
Not at all
How likely are you to recommend this crisis hotline to others?
*
Not likely
1
2
3
4
Extremely likely
5
1 is Not likely, 5 is Extremely likely
What was the main reason for your call or message?
*
Emotional support
Information or resources
Crisis intervention
Other
Did you receive the support or information you needed?
*
Yes, completely
Partially
No
Please share any additional feedback or suggestions.
Submit Evaluation
Should be Empty: