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* 1. Please select the organisation that you have attended Work Programme at?

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* 2. Please type the town the in which you attend your Work Programme provider's centre.

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* 3. Your forename and surname (Optional)

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* 4. I am satisfied with the support I received during my time on the Work Programme

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* 5. Please rate any In Work Support you have received

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* 6. Please tell us here how the service may have been improved

(Please note, if you have a specific complaint, please raise it with the person you’re dealing with at the provider premises. He or she will try to resolve it for you there and then. If there are any lessons to learn from addressing your complaint, then the member of staff will draw them to our attention. If the member of staff can’t help or is unable to resolve things to your satisfaction, they will explain why and you can then ask for a formal investigation).

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* 7. Please use this space to tell us about any good news stories, or positive experiences relating to your time on the Work Programme.

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