just giving

SERVICE EVALUATION FORM

It’s important for us to hear what we could improve on as well as what we have done well.  Each one of our service users is allocated a unique reference number which we store on our secure database. If you are unsure of your unique reference number, please call the Information Line on 03303630063, or contact your allocated worker and to be asked to be provided with this.

Yes
No
Not sure
Yes
No
Not sure
Yes
No
Not sure
Yes
No
Not sure
Yes
No
Not sure
Initial Assessment
Independent Sexual Violence Advisor ( ISVA)
Counselling
Support Group
Yes
No
Not sure
Yes
No
Not sure
Yes
No
Not sure
Yes
No
Not sure
Yes
No
Not sure

Thank you for your time and effort in completing this questionnaire. Please remember that if you need anything from us in the future we are still here for you and will try our very best to help you.

 

Enter your details here: