EmailMeForm
Our Service to you
We want to make sure that we give you a good service
To help us do this, please answer these questions as honestly as you can.
1. How easy did you find it to access our service?
*
Very difficult
Difficult
Easy
Very easy
Any Comments:
2. How happy are you about the times we're open?
*
Very unhappy
Unhappy
Happy
Very Happy
Any Comments:
3. How happy are you about how long you have had to wait in total?
*
Very unhappy
Unhappy
Happy
Very Happy
Any Comments:
4. How happy are you about the time you had to discuss your problem?
*
Very unhappy
Unhappy
Happy
Very Happy
Any Comments:
5. How happy are you with the information and advice you have received?
*
Very unhappy
Unhappy
Happy
Very Happy
Any Comments:
6. Overall, how happy are you with the service that you have received?
*
Very unhappy
Unhappy
Happy
Very Happy
Any Comments:
7. Would you use the CAB service again?
Yes
No
8. Would you recommend using the CAB service to others?
Yes
No
About you
To help us understand if we are meeting the needs of all groups in our community, we need to know a little about you. The questions below will help us check this.
Your answers will be confidential - they will only be used anonymously to build up a statistical picture of views of our service from our clients.
Please select the description that most applies to you.
If you prefer not to answer any of the questions please select the 'prefer not to say' box.
Ethnic Origin:
White - British
White - Irish
White - Other
Mixed - White & Black African
Mixed - White & Black Caribbean
Mixed - White & Asian
Mixed - White & Other
Asian or Asian British - Bangladeshi
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Other
Black or Black British - African
Black or Black Britich - Caribbean
Black or Black British - Other
Other - Chinese
Other - Any Other
Prefer not to say
Age:
0-16
17-24
25-34
35-49
50-64
65+
Prefer not to say
Gender
Female
Male
Transitional or Other
Prefer not
Disability
Disabled
Not Disabled
Prefer not to say
Image Verification
Please enter the text from the image:
[
Refresh Image
] [
What's This?
]
Powered by
EMF
Contact Form
Report Abuse