Easy Read Service User Feedback Form

This survey is for SEAH to see how we can make our services better for you.


In this survey we would like you to tell us:  


• What’s good about the support you get from SEAH


• What you think about the support you get from SEAH 


• What we could do to make your support better


Please tell us what you think by answering the questions in this survey

You can ask somebody to help you read the questions and answer them if you want.

But they should not tell you which answer to pick, because we want to know what you think.

You do not have to answer all the questions if you do not want to.

Your answers are private. We will not use your name when we share what we have found out from all the answers we receive.

You don’t have to give your name unless you want to.

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Name
Date
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Do you know who to call if you have a question about your support?
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Do you know who to call if you are worried about anything?
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How happy are you with the support that you receive from SEAH? 

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Do you feel that we listen to you?

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Do you feel that Support Workers understand your situation and the things going on in your life?

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Do you feel that Support Workers help you to stay safe?

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Do you feel that the support workers have helped you to go out and do activities that you like?

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Do you feel you are encouraged to make your own decisions?

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Do you feel that Support Workers explain things clearly and tell you what has happened and why?

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Do you feel you can ask questions and our Support Workers are able to answer them properly?

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Does the support you receive from SEAH make a positive difference to you?

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Are there things you really like or things that could be better?

Please write your comments in the box below.

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