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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

Maximum 255 characters

0/255

5.  

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

Maximum 255 characters

0/255

7.  

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

8.  

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

10.  

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

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

Maximum 255 characters

0/255

15.  

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