Stacey Braun Associates, Inc. take great pride in providing the best possible financial counseling benefit to you. For this purpose, we ask that you take a few minutes to complete this brief and anonymous evaluation form. Your comments are appreciated and will help us to continue to provide the best service possible.

Evaluation Survey

Please enter your Union

Date of Consultation

Were you satisfied with the financial counseling consultation?

What were your expectations for this consultation?

Did the Stacey Braun representative meet your expectations for this consultation?

How did you hear about this benefit?

Would you allow your union benefit program to use your feedback/name on their marketing materials (i.e., brochures, websites, emails, etc.)? Would you allow your union benefit program to use your feedback/name on their marketing materials (i.e., brochures, websites, emails, etc.)? I agree

Would you take advantage of this benefit next year? Would you take advantage of this benefit next year? Yes No

Would you recommend this benefit to a colleague? Would you recommend this benefit to a colleague? Yes No

Additional Comments

Name (optional)

Phone Number (optional)

Email Address (optional)

13 + 7 =