 |
| |
1. Services utilized in the past year (check all that apply): |
 |
 |
 |
 |
 Telephonic Consultation |
 |
 |
 |
 In-person Consultation |
 |
 |
 |
 On-site Training |
 |
 |
 |
 Critical Incident Stress Debriefing |
 |
 |
 |
 Other: |
 |
 |
|
 |
| |
2. If you had a consultation with us: |
 |
 |
| |
a. What kind of concern did you discuss? |
 |
 |
 |
 Employee Related Behavior |
 |
 |
 |
 Organizational Concern |
 |
 |
 |
 Other |
 |
 |
|
 |
| |
b. Please rate your experience of RMC consultation services: |
 |
 |
| |
Access to someone who could help |
 |
 |
 |
 Very Satisfield |
 |
 |
 |
 Satisfield |
 |
 |
 |
 Neutral |
 |
 |
 |
 Dissatisfield |
 |
 |
 |
 Very Dissatisfield |
 |
| |
Responsiveness of RMC consultant |
 |
 |
 |
 Very Satisfield |
 |
 |
 |
 Satisfield |
 |
 |
 |
 Neutral |
 |
 |
 |
 Dissatisfield |
 |
 |
 |
 Very Dissatisfield |
 |
| |
Knowledge of RMC consultant |
 |
 |
 |
 Very Satisfield |
 |
 |
 |
 Satisfield |
 |
 |
 |
 Neutral |
 |
 |
 |
 Dissatisfield |
 |
 |
 |
 Very Dissatisfield |
 |
| |
Overall helpfulness |
 |
 |
 |
 Very Satisfield |
 |
 |
 |
 Satisfield |
 |
 |
 |
 Neutral |
 |
 |
 |
 Dissatisfield |
 |
 |
 |
 Very Dissatisfield |
 |
| |
c. Would you recommend RMC consultation services to other managers? |
 |
 |
 |
 Yes |
 |
 |
 |
 No |
 |
| |
3. If you had training with us: |
 |
 |
| |
a. Type of Training: |
 |
 |
 |
 |
 EAP Orientation (30 minutes) |
 |
 |
 |
 EAP Supervisory Training (1-2 Hours) |
 |
 |
 |
 Health Promotion Seminar (1 Hour - Stress Management, Change in the Workplace, etc) |
 |
 |
 |
 Supervisory Skills Training (Time Management, Performance Management, Conflict Resolution, etc) |
 |
 |
 |
 Organization Development (Team Building, Coaching, Leadership Development, etc) |
 |
 |
 |
 Other: |
 |
 |
|
 |
| |
b. Please rate your experience of RMC Training services: |
 |
 |
| |
Presenter(s) were knowledgeable |
 |
 |
 |
 Yes |
 |
 |
 |
 No |
 |
 |
 |
 Neutral |
 |
 |
 |
 Dissatisfield |
 |
 |
 |
 Very Dissatisfield |
 |
| |
Presenter(s) answered questions effectively |
 |
 |
 |
 Yes |
 |
 |
 |
 No |
 |
 |
 |
 Neutral |
 |
 |
 |
 Dissatisfield |
 |
 |
 |
 Very Dissatisfield |
 |
| |
Presentation(s) were engaging with audience |
 |
 |
 |
 Yes |
 |
 |
 |
 No |
 |
 |
 |
 Neutral |
 |
 |
 |
 Dissatisfield |
 |
 |
 |
 Very Dissatisfield |
 |
| |
Overall training effectiveness |
 |
 |
 |
 Yes |
 |
 |
 |
 No |
 |
 |
 |
 Neutral |
 |
 |
 |
 Dissatisfield |
 |
 |
 |
 Very Dissatisfield |
 |
| |
c. Would you recommend RMC training services to other managers? |
 |
 |
 |
 Yes |
 |
 |
 |
 No |
 |
| |
If No, Why? |
 |
 |
|
 |
| |
Your job function: |
 |
 |
 |
 Manager/Supervisor |
 |
 |
 |
 Human Resources Staff |
 |
 |
 |
 Senior Manager |
 |
 |
 |
 Other |
 |
 |
|
 |
| |
General Comments: |
 |
 |
|
 |
| |
If you would like follow-up on any concern, please call 800-332-7998. You may also indicate your name and phone number below for a consultant to call you. Website inquiries are not designed for emergencies or urgent needs and will be responded to by the next business day. |
 |
 |
| |
Name: (optional) |
 |
 |
|
 |
| |
Phone: |
 |
 |
|
 |
| |
Organization/Company name: |
 |
 |
|
 |
| |
Years with the organization/company: |
 |
 |
|