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Health and wellbeing feedback

Health and Wellbeing Feedback
Required fields are labelled
Who are you completing this form for?
For example, on behalf of a child or dependent
What is your name?
What is your date of birth?
For example, 31 3 1980
What is your sex?
As recorded on your medical record
The one used to register with your GP
Anyone else with access to your email account may see responses sent to you

Feedback

Please consider the following questions whilst thinking about the Health and Wellbeing sessions you have had:

1. I am happy with the advice received from my Advisor
2. Health and Wellbeing sessions have helped me to better understand my problems
3. I feel more confident knowing how to help myself with future similar issues should they arise
4. I received the help that mattered to me
5. I would recommend this service to friends and family
If you had similar need for help in the future, who/what would you consider to be the most appropriate support?
Please may we use your anonymised comments for sharing to promote our Health and Wellbeing Service?
In future, we may contact patients again to offer them an opportunity to find out more about getting involved in supporting our Health and Wellbeing Services with future projects. Would you be interested in finding out more? You can opt out at any time