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* 1. Client Name (optional):

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* 2. Service (optional):

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* 3. Date:

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* 4. Length of stay in service:

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* 5. How well-supported by staff were you in achieving your goals/ recovery?

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* 6. Tell us what experiences you enjoyed during your time with Pact:

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* 7. Tell us about any problems you had during your time with Pact:

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* 8. Please give us any suggestions for improvement:

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* 9. How do you rate the support you received?

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* 10. For people who stayed in supported accommodation, please answer: 

How do you rate the food and meals?

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* 11. For people who stayed in supported accommodation, please answer:

What do you think of your room?

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* 12. Did you feel the length of time you spent with Pact was appropriate?

Thank you for filling in this form - we appreciate your feedback. Information you give here will be shared with Pact staff so Pact is able to continually make improvements to its services.

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