Samaritans service questionnaire

Service Questionnaire

Your feedback is essential to the development of Samaritans' services. Below are a number of questions about our services. We will use the information you submit to further develop the services we provide. We may also use some of the information for research purposes. All the information you provide will be kept strictly confidential and is anonymous.

We ask that you complete as many questions as possible.

So, tell us what you think!

* Indicates required information

Which Samaritans service(s) have you used? (please tick all that apply)
Telephone helpline
Email service
Text message service
Postal letter service
Visited a branch
Which service are you providing feedback on now?
How satisfied were you with the time it took to answer your email/call/text/letter?
Are you currently using a Samaritans service?	YesNo
When do you contact Samaritans?
Where did you find out about Samaritans' services from?
Your gender?	MaleFemale
What age group do you represent?
Your ethnicity?
Your sexuality?
What were the main reasons for contacting Samaritans? (please tick all that apply)
Work issues
Problems in a relationship
Breakdown of a relationship
Bereavement
Family problems
Worried about someone else
Being unable to have children
Losing my job
Sexuality
Financial worries
Post-natal depression
Loneliness/isolation
Exams/study
Bullying
Physical abuse
Sexual abuse
Emotional / Psychological abuse
Harming myself
Sexual problems
Mental health problems
Illness/physical health concerns
Generally feeling low or sad
Problems with friends
Feeling anxious or worried all the time
Overwork
No specific cause
Other reasons (please specify)
Were you aware that Samaritans is an anonymous service?	YesNo
To what extent did the fact that you could remain anonymous influence your decision to contact Samaritans?
Samaritans aim to make callers feel accepted by not judging them. By this, we mean they do not disapprove or make criticisms about your situation. How non-judgemental was the support?
Samaritans believe that talking through problems with someone who wants to listen can help. Did you feel you were listened to?
How much do you think Samaritans service helped you cope at the time?
Did contact with Samaritans help you to feel;
Less anxious?
more in control?
less isolated?
More understood?
more confident?
In what other ways was it helpful?
How could contact with Samaritans have been more helpful?
Which of the following best describes you?
Have you ever contacted Samaritans when you were feeling suicidal?	yesno
If yes, did your contact with Samaritans help you decide not to take your life?
Have you ever contacted Samaritans when you were thinking of harming yourself?	yesno
If yes, did your contact with Samaritans help you decide not to harm yourself?
What were you hoping for when you contacted Samaritans?
other reason
What other services are you in touch with regarding the problems you contacted Samaritans about?
Have you used other helplines?	YesNo
If yes, which one(s)?
If yes, did you find Samaritans to be more helpful, the same or less helpful than the others contacted?
Is Samaritans a service that you would personally use again?	YesNo
Is Samaritans a service you would recommend to others?	YesNo
Have you any other comments to make about Samaritans, the services that the organisation offers or how they could be improved?

Last Modified : 17/08/2007