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We would like to invite you to share your experience of the Grenfell Health & Wellbeing Service (GHWS) with us.  We want to make sure that GHWS serves you and the community in the best way possible. To do this we need your help to let us know what you think is going well, what is not going well also any suggestions you have for different ways of working and what you think could be improved. All of your feedback will help us to shape the future of the service and we appreciate your time in completing this questionnaire.

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* How did you enter the GHWS? (Tick all that apply)

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* What support are you receiving at the GHWS? (Tick all that apply)

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* If you have recently joined GHWS, what was your first impression of the service? (Please tick)

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* Could you tell us more about this?

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* How satisfied are you with your clinician? (Please tick)

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* Could you tell us more about this?

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* Were you involved in co-creating the plan of treatment and support offered to you, in a way that felt helpful and useful? (Please tick)?

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* Could you tell us more about this?

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* How satisfied are you that the therapy/support you have received is meeting/has met your needs? (Please tick)

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* Could you tell us more about this?

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* Where have you received support from GHWS? (Tick all that apply)

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* If you are/were seen in person/remotely, how satisfied have you been with this way of working? (Please tick)

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* Could you tell us more about this?

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* How satisfied are you with our Reception team? (Please tick)

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* Could you tell us more about this?

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* GHWS is constantly striving to provide a service that is culturally informed, understanding and respectful for everyone, regardless of their gender, sexuality, race/ethnicity, language, religion, age, and/or disability. How satisfied are you that we are meeting this aim? (Please tick)

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* Is there anything else you would like to add?

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* Would you recommend our service to family and friends? (Please tick)

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* Could you tell us more about this?

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* Any other comments/suggestions for GHWS?

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* About you (Optional)

Your data will be treated in accordance with the Data Protection Act 1998 and will not be shared with any third parties. If you would prefer not to be contacted your anonymous feedback is still extremely valuable to us.

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* Thank you for taking the time to complete this feedback form.

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