Grenfell Health and Wellbeing Service Feedback Form (Children)

We would like to invite you to share your experience of the Grenfell Health & Wellbeing Service (GHWS) with us. We want to know what you think about our service. Please complete the questions below to let us know how we are doing and if we can do anything better.

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* Where did you meet your therapist? (Tick all that apply)

St Charles Centre for Health and Wellbeing

The Curve

On Zoom

At school

At home (in person)

Other

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

0 = I did not like it

5 = I really liked it

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* What did you like/not like?

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

Therapy on my own

Therapy with my parent

Therapy with my family

Therapy with other children

Unsure

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* Did you find talking to the therapist helpful? (Please tick)

0 = Not helpful at all

5 = Very helpful

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* What did you like/not like?

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* Did you feel like your therapist listened to you? (Please tick)

0 = They did not listen to me

5 = They really listened to me

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* Why or why not?

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* Did you find the service welcoming?

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* About You: (Optional)

Write your name here if you want to be contacted about your feedback:

Age

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* Gender

Male

Female

Other (please specify)

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.