This short feedback form is designed to capture your feedback after using the services of Shropshire Council's Emergency Social Work Team. These questions shouldn't take long to complete but they will help us learn what is working well and how we can improve our services in the future. Please share your views and feel free to skip any questions you would rather not answer.

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* 1. When did you last contact us?

Date

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* 3. In which capacity did you contact us?

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* 4. Did you contact us for....

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* 5. Did you contact us in relation to....

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* 6. What type of support did you contact ESWT for?

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* 7. If you were signposted to another organisation, which did you need to contact?

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* 8. Overall, how satisfied were you with the service from the Emergency Social Work Team (ESWT)?

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* 9. Please select the response that best fits your view below....

  Strongly agree Agree Neither agree or disagree Disagree Strongly disagree
My enquiry was dealt with my someone with the appropriate knowledge
My enquiry was dealt with politely and professionally
The response was clear and easy to understand
The response was efficient and without delay

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* 10. What was the result of the service you recieved? (Select all that apply)

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* 11. Did anything not go so well, and do you have any suggestions for improvement?

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* 12. Please add any other comments you wish to make, including anything that did go well.

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