Please do not enter data in this field, it is meant to stop spambots, who fill out any field
Please fill in the boxes below (Fields marked Feedback Form:
How old are you?
What gender are you? [select]
female
male
What’s your ethnicity? For example White British, British Asian, Black Caribbean.
Where did you find out about Get Connected? [select]
TV – Please specify which one
Search Engine - Please specify which one
Social Media - Please specify which one
Website - Please specify which one
Magazine – Please specify which one
Newspaper – Please specify which one
Phone Directory - Please specify which one
Organisation - Please specify which one
Poster – Where?
Leaflet - Where?
Other - Please specify
Doctor
Teacher
Family
Friend
School
Police
Please, specify
How did you contact us? [select]
phone
email
Webchat
WebHelp 24/7
What did you contact us about?
When did you contact us?
How supported did you feel? [select]
very well supported
Well supported
Not really supported
Not supported
Were we able to find the help you needed? [select]
Yes, it was what I was after
Yes, it was quite useful
No, it wasn’t really what I wanted
Do you feel our service has been useful to you? [select]
Yes
No
Not sure
If you contacted any of the places we suggested, do you think you’d have got help from them if you hadn’t contacted Get Connected? [select]
yes
no
Not sure
I haven’t contacted the places yet
Has contacting Get Connected changed anything for you? [select]
It’s made things better for me
It’s made things worse for me
It didn’t change anything
Was there anything you felt was particularly good, not so good or anything else you would like to comment on?
We’d like to share your opinion of the helpline. Would you be happy for Get Connected to anonymise your comments and use them on their website and other promotional material? [select]
Yes
No
Thank you for letting us know what you thought of Get Connected. We'd also welcome any future feedback on how you got on after using our service. This can help us show the importance of the work we do by helping us raise funds and to improve our service. If you would like to let us know how you got on, would you be ok for us to email you in a year's time, to see how things turned out? If so, please pop your email address in the box below. All the information you give us will remain confidential.
