Section 1 - To be completed before your appointment

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1. Name of Advisor

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2. Where did you see the Advisor?

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3. Month

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4. What services did you access/want to access at the Community Hub? (Please tick all that apply)

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5. How did you hear about our service?

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6. How long was your wait from requesting the appointment to your actual appointment date?

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7. Are our reception staff friendly and welcoming?

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8. Were you given all the advice and information you required

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9. Did the advice help you resolve your enquiry/issue?

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10. How did the advice worker make you feel? (please select all that apply)

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11. How do you feel about your general wellbeing? - Prior to receiving advice and support

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12. How do you feel about your general wellbeing? - After receiving advice and support

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13. How has the advice/support helped? (Please select all that apply)

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14. Which of these statements applies to you as a result of our advice/support

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15. Overall how would you rate the service you receive

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16. Do you have any comments or suggestion about the service you have received?

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