Employee Assistance Program Review HR
EMPLOYEE ASSISTANCE PROGRAM REVIEW
Company: [Company Name]
Review Date: [Date]
Employee Details
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Name: [Employee Full Name] |
Department: [Department Name] |
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Employee ID: [ID Number] |
EAP Use Date: [Date of Assistance] |
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1. Type of Assistance Requested: (Please tick the appropriate box)
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2. EAP Service Provider Details: ● Name of Counselor/Advisor: [Counselor/Advisor Name] ● Contact Information: [Phone Number/Email] |
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3. Quality of Service Received: (Rate from 1-5, with 1 being poor and 5 being excellent) ● Timeliness of Response: [ ] ● Professionalism of Counselor/Advisor: [ ] ● Relevance of Advice/Counseling: [ ] ● Overall Satisfaction with Service: [ ] |
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4. Follow-up Services: (Please tick if applicable)
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5. Feedback on the EAP Service:
Please provide a brief description of what was beneficial about the service and any areas of improvement. ________________________________________________________________________________________________________________________________________________________________________________________________ |
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6. Would you recommend the EAP service to other employees?
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7. Additional Comments/Suggestions: ________________________________________________________________________________________________________________________________________________________________________________________________ |
Employee Signature: [Sign Here]
Date: [Date Signed]
HR Reviewer Signature: [Sign Here]
Date: [Date Signed]
Thank you for taking the time to review our Employee Assistance Program. Your feedback is invaluable in helping us ensure that [Company Name] International provides the best support services to its employees. This form and its details will be kept confidential and used only for the enhancement of our services.
