Client Feedback – Spotlight on Mental Health

If you would like to provide feedback on your experience receiving peer support, you can download this form and fill it out. Completed forms can be emailed to cynthia.chao@vch.ca or mailed anonymously to Peer Support, 200-520 W 6th Avenue, Vancouver BC, V5Z 4H5.

PSW-Client-Feedback-Form Download

Or you can complete the form below.

Peer Support Client Feedback Form

PSW Client Feedback

From which site did you receive peer support services?

How helpful was working with a peer support worker?

What were your reasons for working with the peer support worker?

What goal(s) did you work on?

Did you set your own goal for peer support?

What did you find most helpful about receiving peer support services?

Is there anything you would do differently after working with a peer support worker? If so, what?

How could peer support services be improved?

Do you have any other comments or feedback? Is there anything else you think we should know about your peer support experience?

Would you like to speak to the program coordinator? Please include your phone number if so.