Survey Example

The following is an example of how we could create a simple before and after questionnaire in order to create some metrics on performance.

It uses a form, and the results are posted as an email.

* indicates required field

Are you keeping in touch?

Seeing people, having things to do, doing the amount that is right for you?





Please indicate which of the responses are close to how you feel about the question

Has this service helped you to keep in touch?




Please indicate whether the service we have provided has helped you.

Are you feeling positive?

Enjoying life, adapting to new circumstances, feeling at ease with how things are.





Please indicate which of the responses are close to how you feel about the question

Has this service helped you to feel more positive about life?




Please indicate how you feel about the service that has been provided.
Thank you for completing our short survey. The personal identifiable information will be kept private to Voices and Choices. The information provided in your responses will help us to improve our services. When you have completed the survey please enter the text in the window below in the space provided and then click on submit.

The form is sent to Barbara and copied to Mark currently. We could use this method of checking responses from people we assist. ┬áNote however it would need to be manually added to Salesforce. This may not be a problem at the outset, however we already know that adding a public interface to SalesForce will cost an additional licence at some point and we don’t know how much or what is involved.