Request for consultation: Pre-consultation rating

For service accountability and quality improvement regarding consultation effectiveness and usefulness CEED requests users to complete consultation rating scales at submission (pre-consultation), at 6 weeks and 3 months post consultation.

The rating scale will be used for CEED internal purposes only, but summary information may be provided to the Department of Human Services. Your personal details will remain anonymous.

Instructions:

Considering your reasons for requesting this consultation, circle current functioning in the areas outlined below.