Refer to Neftaly Human Capital Human Management Procedure NeftalyP238
Tag: Neftaly programme
Neftaly Email: info@neftaly.net Call/WhatsApp: + 27 84 313 7407
[Contact Neftaly] [About Neftaly][Services] [Recruit] [Agri] [Apply] [Login] [Courses] [Corporate Training] [Study] [School] [Sell Courses] [Career Guidance] [Training Material] [ListBusiness/NPO/Govt] [Shop] [Volunteer] [Internships] [Jobs] [Tenders] [Funding] [Learnerships] [Bursary] [Freelancers] [Sell] [Camps] [Events&Catering] [Research] [Laboratory] [Sponsor] [Machines] [Partner] [Advertise] [Influencers] [Publish] [Write ] [Invest ] [Franchise] [Staff] [CharityNPO] [Donate] [Give] [Clinic/Hospital] [Competitions] [Travel] [Idea/Support] [Events] [Classified] [Groups] [Pages]
-
Neftaly Therapeutic Psychosocial Support Programme Feedback File
Neftaly Therapeutic Psychosocial Support Programme
Client Feedback File
This Feedback File ensures service quality improvement, accountability, beneficiary participation, and programme impact measurement.
NEFTALY THERAPEUTIC PSYCHOSOCIAL SUPPORT PROGRAMME
CLIENT FEEDBACK FILE
SECTION 1: CLIENT FEEDBACK COVER PAGE
Item Information Client Name Client File Number Programme Site Practitioner Service Received Feedback Date Feedback Method ☐ Interview ☐ Written ☐ Online ☐ Telephone
SECTION 2: SERVICE EXPERIENCE FEEDBACK
Please rate the following services:
Service Area Excellent Good Fair Poor Staff Respect & Professionalism ☐ ☐ ☐ ☐ Confidentiality Maintained ☐ ☐ ☐ ☐ Counselling Support Quality ☐ ☐ ☐ ☐ Emotional Support Provided ☐ ☐ ☐ ☐ Accessibility of Services ☐ ☐ ☐ ☐ Safety During Sessions ☐ ☐ ☐ ☐ Programme Environment ☐ ☐ ☐ ☐
SECTION 3: CLIENT SATISFACTION ASSESSMENT
Statement Strongly Disagree Disagree Agree Strongly Agree I felt listened to ☐ ☐ ☐ ☐ I was treated with dignity ☐ ☐ ☐ ☐ Services helped my wellbeing ☐ ☐ ☐ ☐ Staff explained services clearly ☐ ☐ ☐ ☐ I would recommend this programme ☐ ☐ ☐ ☐
SECTION 4: SERVICE IMPACT FEEDBACK
Since joining the programme:
Area Improved No Change Declined Emotional Wellbeing ☐ ☐ ☐ Stress Management ☐ ☐ ☐ Confidence ☐ ☐ ☐ Family Relationships ☐ ☐ ☐ Social Participation ☐ ☐ ☐
SECTION 5: OPEN CLIENT COMMENTS
What helped you the most?
What challenges did you experience?
What improvements would you suggest?
SECTION 6: COMPLAINTS & CONCERNS REGISTER
Complaint Raised Yes ☐ No ☐ If YES:
Description Action Taken Responsible Person Resolution Date
SECTION 7: CLIENT RIGHTS CONFIRMATION
Client confirms that:
☐ Services were voluntary
☐ Confidentiality was respected
☐ Rights were explained
☐ No discrimination experiencedClient Signature: _________________________
Date: ____________________________________
SECTION 8: PRACTITIONER RESPONSE
Feedback Category Action Required Responsible Staff Deadline Practitioner Name: __________________
Signature: _________________________
SECTION 9: PROGRAMME IMPROVEMENT TRACKING
Issue Identified Corrective Action Responsible Person Completion Status
SECTION 10: FEEDBACK SUMMARY REPORT
(To be completed monthly or quarterly)
Period Feedback Forms Received Positive Feedback Complaints Actions Implemented
SECTION 11: CONFIDENTIALITY DECLARATION
All feedback information is protected under:
- Protection of Personal Information Act (POPIA)
- Social Service Ethical Standards
- Client Rights & Confidentiality Policies
Access limited to authorised programme personnel.
✅ Recommended Feedback Collection Frequency
Stage Timing After First Session Optional Mid-Programme Recommended Programme Exit Mandatory Follow-Up 3–6 Months
✅ File Divider Structure
Client Feedback File │ ├── Feedback Forms ├── Satisfaction Surveys ├── Complaints Records ├── Practitioner Responses ├── Improvement Actions └── Feedback Summary Reports
✅ DSD & Donor Compliance Benefits
This Feedback File supports:
- Beneficiary Participation Evidence
- Service Quality Monitoring
- Programme Improvement Planning
- Accountability & Transparency
- Outcome Verification
-
Neftaly Therapeutic Psychosocial Support Programme Client Evaluation File
Neftaly Therapeutic Psychosocial Support Programme
Client Evaluation File
This file measures client progress, therapeutic outcomes, programme effectiveness, and impact, and is suitable for:
NEFTALY THERAPEUTIC PSYCHOSOCIAL SUPPORT PROGRAMME
CLIENT EVALUATION FILE
SECTION 1: CLIENT DETAILS
Item Information Client Name & Surname Client File Number ID Number Gender Age Programme Site Practitioner Case Manager Referral Source Date Admitted Evaluation Period
SECTION 2: BASELINE CLIENT ASSESSMENT (ENTRY EVALUATION)
Psychosocial Functioning at Intake
Indicator Severe Concern Moderate Concern Stable Emotional Wellbeing ☐ ☐ ☐ Anxiety Level ☐ ☐ ☐ Depression Symptoms ☐ ☐ ☐ Behaviour Control ☐ ☐ ☐ Social Interaction ☐ ☐ ☐ Family Support ☐ ☐ ☐ Coping Skills ☐ ☐ ☐
Presenting Problems
☐ Trauma
☐ Gender-Based Violence
☐ Grief & Loss
☐ Family Conflict
☐ Substance Abuse
☐ Stress & Anxiety
☐ Depression
☐ Child Protection Concerns
☐ Other: ___________________Practitioner Observations:
SECTION 3: SERVICE INTERVENTIONS RECEIVED
Intervention Frequency Duration Practitioner Individual Counselling Group Therapy Crisis Intervention Family Therapy Psychoeducation Referrals
SECTION 4: MID-TERM PROGRESS EVALUATION
Indicator Improved No Change Worsened Emotional Stability ☐ ☐ ☐ Stress Management ☐ ☐ ☐ Self-Confidence ☐ ☐ ☐ Behaviour Management ☐ ☐ ☐ Social Relationships ☐ ☐ ☐ Progress Notes:
SECTION 5: CLIENT SELF-ASSESSMENT
Client Feedback Rating
Statement Strongly Disagree Disagree Agree Strongly Agree I feel emotionally stronger ☐ ☐ ☐ ☐ I can cope better with stress ☐ ☐ ☐ ☐ My relationships improved ☐ ☐ ☐ ☐ Counselling helped me ☐ ☐ ☐ ☐ I feel supported ☐ ☐ ☐ ☐ Client Comments:
Client Signature: ___________________
SECTION 6: FINAL OUTCOME EVALUATION
Outcome Area Achieved Partially Achieved Not Achieved Emotional Recovery ☐ ☐ ☐ Trauma Stabilization ☐ ☐ ☐ Improved Coping Skills ☐ ☐ ☐ Family Functioning ☐ ☐ ☐ Social Reintegration ☐ ☐ ☐
SECTION 7: COMPARATIVE PROGRESS ANALYSIS
Psychosocial Area Intake Status Exit Status Emotional Health Behaviour Mental Wellness Social Participation Risk Level
SECTION 8: PRACTITIONER EVALUATION REPORT
Summary of Client Progress
Remaining Risks / Challenges
Professional Recommendation
☐ Case Closure
☐ Continued Support
☐ Referral Required
☐ Follow-Up Monitoring
SECTION 9: CLIENT SATISFACTION SURVEY
Service Quality Area Excellent Good Fair Poor Counselling Services ☐ ☐ ☐ ☐ Staff Professionalism ☐ ☐ ☐ ☐ Confidentiality ☐ ☐ ☐ ☐ Accessibility ☐ ☐ ☐ ☐
SECTION 10: FOLLOW-UP PLAN
Follow-Up Date Method Responsible Practitioner Outcome
SECTION 11: CASE OUTCOME CLASSIFICATION
☐ Successfully Completed
☐ Significant Improvement
☐ Partial Improvement
☐ Referred to Specialized Service
☐ Client Withdrawn
☐ Ongoing Case
SECTION 12: EXIT APPROVAL
Practitioner Name: _________________________
Signature: _________________________________
Supervisor Name: __________________________
Signature: _________________________________
Date Closed: _______________________________
SECTION 13: CONFIDENTIALITY & POPIA DECLARATION
All information contained in this evaluation file is confidential and protected under:
- Protection of Personal Information Act (POPIA)
- Social Service Ethical Codes
- Mental Health Care Standards
Access restricted to authorised personnel only.
✅ Evaluation Timeline (Recommended)
Evaluation Stage Timeframe Baseline Intake Mid-Term Review 6–8 Weeks Final Evaluation Exit Follow-Up 3–6 Months
✅ Client Evaluation File Divider Structure
Client Evaluation File │ ├── Client Details ├── Baseline Assessment ├── Intervention Record ├── Mid-Term Evaluation ├── Client Feedback ├── Final Outcome ├── Practitioner Report ├── Follow-Up Plan └── Exit Approval