Follow up survey

On requesting funding from Support4SDR Wales, you agreed to complete a questionnaire after your training or therapy so that we can collect information on outcomes and the progress made. This will help us to meet our success criteria as a charity and thus to apply for more funds on your behalf. Filling in this survey is a condition of future funding. All information on outcomes will be anonymous, although we will keep your personal details on record purely for the purposes of contacting you in relation of past or future funding.

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* 1. Contact details of person receiving the funding

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* 2. Please confirm which service provider you used

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* 3. On what dates did the funded sessions start and end

Start date
End date

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* 4. Did the therapy meet your expectations as provided in your funding request

No Somewhat Yes
i We adjusted the number you entered based on the slider’s scale.

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* 5. Please provide details of any benefits you have seen as a result of this therapy

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* 6. We would be grateful for any comments which highlights the benefits you have seen as a result of the therapy

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* 7. We would be grateful for any comments on the charity's process for funding or the work we carry out, in order to improve our services to members

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* 8. Would you be happy for us to use comments on our website anonymously, in order to highlight successes to other members of the charity?

T