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 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 service. We appreciate your time in completing this questionnaire.

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* Which team(s) are you giving feedback on today? (Tick all that apply)

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* How did you enter GHWS? (Tick all that apply)

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

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* Have you recently started receiving support from us? If so, how satisfied are you with your initial conversations and consultation with us? (Please tick or leave blank if you've completed this section before or during this period of working with us)

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* Could you tell us more about this?

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* How confident have you felt about your clinician's skills, knowledge and approach? (Please tick)

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* Could you tell us more about this?

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* What has been your experience of our Reception Team? (Tick all that apply)

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* Can you tell us more about this?

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* How satisfied are you that the therapy/support you received has met your needs? (Please tick)

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* Could you tell us more about this?

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* Were you involved in co-creating the plan of treatment and support offered to you, in a way that felt helpful and useful? (Please tick)

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* Could you tell us more about this?

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* Where have you received support from GHWS? (Tick all that apply)

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* If you are/were seen in person how satisfied were you with the venues you've been seen in? (Please tick)

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* Could you tell us more about this?

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* If you've been receiving support remotely (computer or telephone) how satisfied have you been with this way of working? (Please tick)

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* GHWS is constantly striving to provide 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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* Is there anything else you would like to add?

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* How likely are you to recommend this service to family and friends? (Please tick)

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* Could you tell us more about this?

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* About you (Optional)

Your data 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 time to complete this feedback form.

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