Evaluation of the B.C. Family Maintenance Enforcement Program's Pilot Outreach Project

2004-FCY-4E

• [ Previous Page |
• Table of Contents |
• Next Page ]

APPENDIX 1: CLIENT MEETING SURVEY FORM

FMEP Pilot Outreach Project

The information you are providing on this form will be used to assess the value of the FMEP Outreach Project’s Client Meetings. Please complete this form, place it in the envelope provided, seal the envelope and place it in the secure box. Your name is not required on this form and all the information you have provided is confidential.

1. What is the location of the Family Justice Centre where the meeting with the Family Maintenance Enforcement Project was held.
   
2. Are you:
   •   A Recipient (Person entitled to receive maintenance payments)
   •   A Payor (Person expected to make maintenance payments)
3. Do you have a maintenance order or written approval at the present time?
   • Yes 
   •  No
   If yes, at what court level?
   •   Supreme Court
     
   •   Family Court
     
   •   Don’t Know
     
4. How many children are covered by this maintenance order? 
5. Are you currently enrolled in the Family Maintenance Enforcement Program?
   •  Yes 
   •  No
6. If you are not enrolled in the Family Maintenance Enforcement Program did you wish to discuss possible enrollment at the Client Meeting?
   •  Yes
     
   •  No
     
   •  Doesn’t Apply
     
7. If you are already a recipient of maintenance payments, how would you describe the general level of payments you have received in the past? (check one answer)
   •  Have not received any payments
   •  Have received only occasional payments
   •  Have received regular payments as required by the Maintenance Order
   •  Other (Please describe PAYMENT LEVEL)
     
8. If you pay maintenance payments please describe the general level of payments you have made in the past (check one answers).
   •  Have made no payments
   •  Have made occasional payments
   •  Make regular payments as required by the Maintenance Order
   •  Other payment situation (Please Describe THE LEVEL OF PAYMENT YOU HAVE BEEN MAKING)
9. Please describe the specific help or information you hoped to receive from the Family Maintenance Enforcement Program at this meeting. For example, if you are a payor you may have wanted to discuss difficulties you are having in making payments. If you are a recipient issues might include not receiving payments. Please be as specific as possible.
   
   
   
10. Please describe the information and help you received at the Client Meeting.
    
    
    
11. What was the most useful part of the meeting with the Family Maintenance Enforcement Program?
    
    
    
12. What was the least useful part of the meeting with the Family Maintenance Enforcement Program?
    
    
    
13. Please rate the meeting you had with Family Maintenance Enforcement Program staff on the following scale of 1–7. On this scale 1 = very poor, 7 = excellent
    
14. How helpful did you find the Client Meeting in terms of the following?
    
15. Have you ever contacted the Family Maintenance and Enforcement Program by telephone for help or information in the past?
    •   Yes Approximately how many times 
    •   No If no, why not?
      
      
      
16. If you have issues related to maintenance enforcement (either getting or making payments), do you feel there are benefits to a face to face meeting with FMEP staff (in comparison to telephone contact)?
    •   No
    •   Yes Please explain any benefits
      
      
      
      

• [ Previous Page |
• Table of Contents |
• Next Page ]