CHESTIONAR DE EVALUARE A IMPACTULUI SERVICIILOR DE ASISTENTA SOCIALA ASUPRA
ASISTATILOR SERVICIILOR
Scop: Identificarea gradului de satisfactie fata de serviciile de asistenta sociala oferite si
adaptarea serviciilor in functie de nevoile identificate
1. De cat timp sunteti asistat in cadrul Centrului?
________________________________________________________________ ________________________________________________________________ 2. Specificati serviciile de care ati beneficiat ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 3. Apreciati cu o nota de la 1 la 10 (unde nota 1 reprezinta servicii nesatisfacatoare iar nota 10 servicii de inalta calitate si profesionalism) serviciile primite _________________________________________________________________ 4. Care sunt serviciile de care sunteti multumit? _________________________________________________________________ _________________________________________________________________ 5. Care sunt serviciile care ar trebui imbunatatite? _________________________________________________________________ _________________________________________________________________ 6. Ce servicii noi ar trebui adaugate celor de care beneficiati deja? __________________________________________________________________ __________________________________________________________________ 7. Comentati pe scut, prestatia personalului serviciului __________________________________________________________________ __________________________________________________________________ 8. Propuneti (daca este cazul) modalitati de acoperire mai buna a nevoilor dumneavoastra de catre serviciile oferite __________________________________________________________________ __________________________________________________________________
Numele si Prenumele……………………………………………………………………….varsta………… Data………………………….