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Feedback Questionnaire
Please give us feedback on your recent experience
Were you happy with how quickly we got back to you?
*
Yes - completely
Yes - mostly
No - not really
No - not at all
Did you feel we listened to you and understood what you needed?
*
Yes - completely
Yes - mostly
No - not really
No - not at all
Did our support help you get information you needed?
*
Yes - completely
Yes - mostly
No - not really
No - not at all
Was the information we gave you easy to understand?
*
Very easy
Easy
Difficult
Very difficult
Did our support help you find relevant local services or resources?
*
Yes - completely
Yes - mostly
No - not really
No - not at all
Do you feel we were able to suggest a choice of options?
*
Yes - completely
Yes - mostly
No - not really
No - not at all
Has our support helped you:
*
Not at all
A little
Quite a bit
Very much
N/A
Feel more financially secure?
Feel more connected to other people and your community?
With your physical health and wellbeing?
With your mental health or how you're feeling?
Feel more in control or confident?
On a scale from 0 to 10, how likely are you to recommend our service to someone else?
*
0 - Not at all
10 - Extremely likely
Score 0
0
Score 1
1
Score 2
2
Score 3
3
Score 4
4
Score 5
5
Score 6
6
Score 7
7
Score 8
8
Score 9
9
Score 10
10
Do you have any further comments or suggestions that may help us to improve our service?
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Please contact
contactus@ageukoxfordshire.org.uk
if you experience any problems with this form.