Client Feedback Form
We are very keen to improve the service we provide to the Isle of Wight community. Your views about this are very important to us and will be treated in the strictest confidence. Please answer the following questions as honestly as you can. The results of this survey will be used for evaluation and to improve services for the future.

Please note an email account is NOT REQUIRED to be able to complete this survey although should you wish to save your answers to complete at a later date, please do sign in using a gmail account.
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Please select below the support you accessed from the Healthy Lifestyles Isle of Wight service?
Overall, how satisfied are you with the service you received? *
Very Unsatisfied
Very Satisfied
Would you recommend our service to your family/friends? *
If you needed to, would you return to the service for support? *
Was it easy to contact the Healthy Lifestyles Isle of Wight Service? *
If you indicated "no" or "unsure" to the question above, please use the space below to indicate how we could make contacting our service easier
How would you rate the support you received from your advisor? *
Very Unhelpful
Very Helpful
"I achieved the goal I set out to achieve using the support offered by Healthy Lifestyles Isle of Wight"
Strongly disagree
Strongly agree
Clear selection
"My health and wellbeing has improved since accessing support from the Healthy Lifestyles Isle of Wight service"
Strongly disagree
Strongly agree
Clear selection
How did you hear about the Healthy Lifestyles Isle of Wight Service? *
Are you currently pregnant or were you pregnant when you used the service? *
Please use the space below to detail any areas where your experience of using the Healthy Lifestyles Isle of Wight service could be improved
Do you have any further comments you would like to add?
Please complete the contact details section below if you would like to be contacted by a member of the Healthy Lifestyles Isle of Wight team.
Please use the space below to write an optional quote about your experience of stopping smoking or weight management and the Healthy Lifestyles Isle of Wight service.
Please note by submitting this information you give consent for Healthy Lifestyles Isle of Wight and Solutions 4 Health to use your quote on social media, on their website and on other promotional materials
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