Feedback about your experience
We are very keen to continuously improve the service we provide to our clients. Your views about this are very important to us and will be treated in the strictest confidence. We will not ask your name or other information that can identify you. Please answer the following questions as honestly as you can.
Which borough did you access the service in: *
Please state the month you had your first appointment with the service:
Your answer
Overall, how satisfied are you with the service you received? *
Was it easy to contact Breathe? *
Were you offered a range of options of support to choose from? E.g. support by telephone, face to face appointments, Nicotine Replacement Therapy (patches, gum etc.) sent by post. *
Which support did you choose? *
Did you find the service flexible and convenient to access? *
Were you offered a choice of medication? *
Was it helpful having your carbon monoxide (CO) reading done? *
Did you stop smoking? *
Would you recommend our service to your family/friends? *
If you started smoking again would you return to the service for help to stop? *
How did you hear about Breathe Stop Smoking Service? *
Do you have any further comments you would like to add?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms