Heads Count Feedback Form - Your Voice Matters
Please share your experience to help improve services in Plymouth.
Email address *
From the following are you a? *
Can you tell us a little about your condition / the condition of the person you are telling us about?
Your answer
Have you accessed mental health services in Plymouth? *
Please complete a separate form for EACH service accessed (you can submit another response on completion of this one)
If you have not accessed a service in Plymouth can you tell us why?
If you have accessed a service please tell us which service.
Your answer
How would you rate the welcome & respect you received from staff?
How would you rate the standard of care you received?
How would you describe the length of time you waited to be given an appointment?
How would your rate the information and explanation about your condition?
Please describe your experience in one short sentence
Your answer
Please add here any other information about your experience that you would like to share
Your answer
In the event that you would be willing to be contacted if we conduct further research into responses please provide your email address.
Your answer
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