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Individual / Carer Feedback Form

0% answered

Scaling System

On the 5 point sale, 1 is the least positive and 5 is the most positive:

1.  

The person completing this survey:

2.  

My worker listens to me and understands what is important to me. 

Maximum 255 characters

0/255

4.  

I have felt involved in making the support plans about me. 

Maximum 255 characters

0/255

6.  

My worker and I agree on what can help me improve my situation and how I can keep myself safe.

Maximum 255 characters

0/255

8.  

My worker has helped me understand how they can support me and what will happen.

9.  

My worker is able to give me information about other services that might be able to support me.

Maximum 255 characters

0/255

Maximum 255 characters

0/255

12.  

My worker has been professional and respectful and does what they say they will do

Maximum 255 characters

0/255

14.  

I am satisfied with the support from my worker and know how to change aspects of my appointments if I need to. 

Maximum 255 characters

0/255