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Referrer service satisfaction survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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Referrer Service satisfaction survey
1
1. How easy or difficult was it to find out about Home-Start Blackpool, Fylde & Wyre?
Select one or more answers
Extremely easy
Moderately easy
Not at all easy
2
2. Was the information given about Home-Start Blackpool, Fylde & Wyre useful?
Select one or more answers
Extremely useful
Moderately useful
Not at all useful
3
3. If you are a self-referrer how easy or difficult was it to find out about our services?
Select one or more answers
Extremely easy
Moderately easy
Not at all easy
4
4. How long did your family have to wait before Home-Start Blackpool, Fylde & Wyre contacted the family?
Select one or more answers
Less than 2 weeks
more than 2 weeks
5
5. How long did you have to wait before Home-Start Blackpool, Fylde & Wyre contacted you with an update of the family?
Select one or more answers
Less than 2 weeks
more than 2 weeks
6
6. How would you rate the knowledge and helpfulness of the Coordinator who contacted you? (If applicable)
Select one or more answers
Poor
Satisfactory
Excellent
7
7. How satisfied were you with the information given to the family by Home-Start Blackpool, Fylde & Wyre?
Select one or more answers
Extremely satisfied
Moderately satisfied
Not at all satisfied
8
8. To what extent do you think Home-Start Blackpool, Fylde & Wyre delivered what the family needed?
Select one or more answers
Extremely satisfied
Moderately satisfied
Not at all satisfied
9
9. How satisfied or dissatisfied were you with the length of time it took Home-Start Blackpool, Fylde & Wyre to match your family with a volunteer?
Select one or more answers
Extremely satisfied
Moderately satisfied
Not at all satisfied
10
10. Would you recommend Home-Start Blackpool, Fylde & Wyre to a family?
Select one or more answers
yes
no
11
11. What difference has Home-Start made to the family?
12
12. What changes would most improve our service?
13
13. Overall experience. Thinking about your experience of the service provided by Home-Start Blackpool, Fylde & Wyre how satisfied or dissatisfied are you?
Select one or more answers
Extremely satisfied
Moderately satisfied
Not at all satisfied
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