Professional / Stakeholder Feedback Form

We would be grateful if you could take a few minutes to complete this feedback form. The feedback we receive helps us to find out what we are good at and where we need to improve. This helps us to develop our advocacy services in order to meet the needs of our clients and stakeholders as effectively as possible. We welcome all feedback, so please feel free to contact us at any time.

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* 1. Your name

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* 2. Your contact details

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* 3. Name of the person/service you want to tell us about

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* 4. My feedback is

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* 5. Which of our services did you have contact with?

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* 6. What type of contact did you have with POhWER?

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* 7. What was your experience of POhWER at that contact?

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* 8. Would you recommend our service to others?

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* 9. Please write more details about the contact you had with POhWER and the reason why you selected the option above.

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* 10. What best describes your overall experience of POhWER in general?

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* 11. Please write more details about the overall experience you had with POhWER and the reason why you selected the option above.

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* 12. If you were satisfied with our support and the services we provided please tell us why (Please tick all that apply, you can choose more than one option)

The advocate explained POhWER support and services well

The advocate represented POhWER in a professional manner and shared with me appropriate information

The advocate was able to support my client in a professional way that enabled them to understand their options and choices

The advocate engaged well with professionals and my client and enabled a positive outcome to be achieved

Other

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* 13. Please write more details about why you were satisfied with our support and the service we provided.

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* 14. If you were unsatisfied with our support and the service we provided please tell us why (Please tick all that apply, you can choose more than one option)

The advocate DID NOT explain POhWER support and services

The advocate DID NOT represent POhWER in a professional manner

The advocate DID NOT share information with me in an appropriate way

The advocate DID NOT support my client in a professional way

The advocate DID NOT support my client to understand their options and choices

The advocate DID NOT engage well with professionals and my client so a positive outcome WAS NOT achieved

Other

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* 15. Please write more details about why you were unsatisfied with our support and the service we provided.

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* 16. Do you have any suggestions on how we can improve our services and work better with people in a similar situation to you?

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* 17. Are you completing this form on behalf of someone else?

If yes, please enter your name and position

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* 18. Enter the Contract Code if known:

If you would like any information about any of our other services, please call 0300 456 2370 or email us, pohwer@pohwer.net