Hope Bereavement Care Counselling Survey
We believe that your feedback - good or bad - is essential to improving the services that Hope Bereavement Care (Hope) offers. Tell us what was good and what could be improved, say thanks or call for change

Please note that:
- Your participation is voluntary. You do not have to participate in this survey if you don’t want to.
- Your responses are anonymous and confidential. Your name is not attached to your comments unless you want it to be.
- Your answers will not affect your ability to access services at Hope.
- We will summarise the completed surveys and share the summaries in our Board reports, or to funding bodies and other communications about our service.

This survey may take up to five minutes depending on the amount of services used and the detail of feedback.

If you have any questions about this survey, please contact Executive Officer Salli Hickford via executive@bereavement.org.au or (03) 4215 3358.
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I received counselling from Hope in relation to: *
Required
How satisfied were you with: *
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
Your first contact with Hope
The wait to see a counsellor
Our website/other resources
Our location
Seeing a counsellor at Hope was helpful for me. *
How would you describe your experience with Hope? (optional)
Would you recommend Hope to a bereaved family member or friend? *
What feedback would you like to provide Hope about your overall experience? (optional)
Would you like someone from Hope to contact you about this survey? (If yes, please add your name and contact details below.) *
Are you interested in sharing your bereavement story and/or your interaction with Hope?  (If yes, please add your name and contact details below.) *
Your name and contact details: (optional)
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