Grenfell Health and Wellbeing Service Feedback Form (Parent)

We would like to invite you to share your experience of the Grenfell Health and Wellbeing Service (GHWS) with us. We want to make sure that GHWS serves you and the community in the best way possible. To do this we need you to let us know what you think is going well, what is not going so well, any suggestions you have for different ways of working and what you think could be improved. All of your feedback will help us to shape the future of the service, and we appreciate your time in completing this questionnaire.

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* How did your child enter the Grenfell Health & Wellbeing Service? (Please tick)

Self-referral

School

Another GHWS professional

Another health professional

Other

Unsure

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* Where did your child meet their therapist (Tick all that apply)

St Charles Centre for Health and Wellbeing

The Curve

On Zoom

Telephone

At school

At home (in person)

Other

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* Did you like where your child met their therapist? (Please tick)

0 = I did not like it

5 = I really liked it

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* Would you like to say more about this?

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* What support did your child receive at the GHWS? (tick all that apply)

Cognitive Behavioural Therapy (CBT)

Eye Movement Desensitisation and
Reprocessing (EMDR)

Narrative Exposure Therapy (NET)

Psychodynamic

Systemic Family Therapy

Counselling

Individual TRT

Family TRT

Group TRT

Unsure

Other

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* If you have been meeting with a therapist, how satisfied have you been with these sessions?” (Please tick or leave blank if you have completed this section recently)

0 = Not satisfied at all

5 = Very satisfied

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* Could you tell us more about this? i.e. what you liked/didn’t like.

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* Did you feel that the therapist had the right skills, knowledge and approach to help? (Please tick)

0 = They really didn't

5 - They really did

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* Could you tell us more about this? i.e. What you liked/didn’t like.

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* Did you feel involved in making decisions about their support? (Please tick)

0 = Not at all

5 = I felt very involved

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* Can you tell us a little more about this? What you liked/didn’t like.

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* How pleased were you with your experience of the rest of our team i.e. reception staff? (Please tick)

0 = Not pleased at all

5 = Very pleased

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* Can you tell us a little more about this? What you liked/didn’t like.

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* GHWS is constantly striving towards providing a service that is culturally informed, understanding and respectful for everyone regardless of their gender, sexuality, race/ethnicity, language, religion, age and/or disability.
How satisfied are you that we are meeting this aim? (Please tick)

0 = Not satisfied at all

5 = Very satisfied

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* Would you recommend Grenfell Health & Wellbeing Service to a friend or a family member?

Yes

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* Is there anything else you would like to say about their support?

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* About You: (Optional)

Name (if you want to be contacted about your feedback)

Ethnicity

Age

Gender

Postcode

Preferred language

Please provide contact details if you wish to be contacted to discuss your feedback

Your details will be treated in accordance with the Data Protection Act 1998 and will not be shared with any third parties. If you would prefer not to be contacted your anonymous feedback is still extremely valuable to us.

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* Thank you for taking the time to complete this feedback form.

Tick to consent to the use of anonymised quotes from your feedback to promote the service.

Tick if you are interested in receiving further information about service user involvement.

Grenfell Health and Wellbeing Service Feedback Form (Parent)

Question Title

* How did your child enter the Grenfell Health & Wellbeing Service? (Please tick)

Question Title

* Where did your child meet their therapist (Tick all that apply)

Question Title

* Did you like where your child met their therapist? (Please tick)

Question Title

* Would you like to say more about this?

Question Title

* What support did your child receive at the GHWS? (tick all that apply)

Question Title

* If you have been meeting with a therapist, how satisfied have you been with these sessions?” (Please tick or leave blank if you have completed this section recently)

Question Title

* Could you tell us more about this? i.e. what you liked/didn’t like.

Question Title

* Did you feel that the therapist had the right skills, knowledge and approach to help? (Please tick)

Question Title

* Could you tell us more about this? i.e. What you liked/didn’t like.

Question Title

* Did you feel involved in making decisions about their support? (Please tick)

Question Title

* Can you tell us a little more about this? What you liked/didn’t like.

Question Title

* How pleased were you with your experience of the rest of our team i.e. reception staff? (Please tick)

Question Title

* Can you tell us a little more about this? What you liked/didn’t like.

Question Title

* GHWS is constantly striving towards providing a service that is culturally informed, understanding and respectful for everyone regardless of their gender, sexuality, race/ethnicity, language, religion, age and/or disability. How satisfied are you that we are meeting this aim? (Please tick)

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* Would you recommend Grenfell Health & Wellbeing Service to a friend or a family member?

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* Is there anything else you would like to say about their support?

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* About You: (Optional)

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* Thank you for taking the time to complete this feedback form.

* GHWS is constantly striving towards providing a service that is culturally informed, understanding and respectful for everyone regardless of their gender, sexuality, race/ethnicity, language, religion, age and/or disability.
How satisfied are you that we are meeting this aim? (Please tick)