Exit this survey

Thank you for agreeing to provide feedback about the Retina UK Helpline service. This will help us provide the support that is needed by people with inherited progressive sight loss. It will also help us to provide the charity's funders with evidence of the need for the service. We also ask for a little information about you, however all questions are optional. Individual data is not kept after being included in any analysis.

Question Title

* 1. Your name (optional)

Question Title

* 2. What type of contact did you have with the Retina UK Helpline?

Question Title

* 3. Where did you hear about the Retina UK Helpline?

Question Title

* 4. How would you rate the service you received on a scale of 0 to 5, where '5' is very helpful, supportive and professional, and '0' means the service was disappointing or of no help to you?

Question Title

* 5. As a result of your contact with the Retina UK Helpline, do you feel (tick all that apply)

Question Title

* 6. Following your contact with our Helpline do you feel:

Question Title

* 7. In order to meet your particular needs, what else could our support service offer?

Question Title

* 8. Your gender?

Question Title

* 9. Your age?

Question Title

* 10. Your ethnic background? This information is important to us as we know that the prevalence of RP varies significantly across different ethnic backgrounds

Question Title

* 11. Where do you live?

Question Title

* 12. Please provide your email address below if you would like to receive our monthly E-bulletin and electronic version of our quarterly magazine.

Thank you for your feedback and for your support for our work.

Retina UK
www.RetinaUK.org.uk

T