Client Feedback Form - Compliments and Comments

Thank you for using POhWER. We would like to know if you found our advocacy services helpful. Your feedback will help us to make sure we are supporting people in the right way.

We would really appreciate it if you could take a few minutes to answer these questions, if you need a paper copy of this form sending to you please call our information support centre on 0300 456 2370, or you can ask them to help you and complete this form with you over the telephone.

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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. Which area of the country do you live in?

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* 5. Which of our services did you use?

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* 6. How would you rate the support from your advocate

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* 7. How satisfied were you with the way that your advocate worked with you?

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* 8. If you were fully or partially satisfied with the way that POhWER worked for you, was it because: (Please tick all that apply, you can choose more than one option)

My advocate made it easy for me to tell them what had gone wrong or what I was worried about

My advocate worked on my case in a timely way

My advocate answered my questions and explained things well, in a way that made it easy to understand

My advocate gave the information, support and help I needed to help me with my problem

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* 9. Would you like to share your experience of working with POhWER with others?

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* 10. Please use the box below to let us know anything else you felt about the service you received from POhWER:

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

If yes, please enter your name and position

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* 12. Enter the Contract Code if known:

If you would like any information about any of our other services, please call 0300 456 2370 or visit our website, www.pohwer.net