Client feedback questionnaire

1. We would be grateful if you could help us by completing our client feedback questionnaire, to help us improve the services we provide.
  
  Please be assured that the survey is completely confidential and unless you complete the details section we will not know who has taken part.
  
  This form should take up to 10 minutes to complete.
  
  All fields marked with * are required.
2. Your details
  1. Responses are confidential, but if you would like to discuss any of the issues raised please complete your details.
  2. Would you like to be contacted to discuss any of the issues raised? (optional)
    
    Yes
    
    No
  3. Full name (optional)
  4. Address line 1 (optional)
  5. Address line 2 (optional)
  6. Town/city (optional)
  7. Postcode (optional)
  8. Telephone number (optional)
  9. Email address (optional)
3. Welfare benefits and debt advice
  1. Name of advisor
  2. How satisfied were you with our overall level of service?
    
    Very satisfied
    
    Fairly satisfied
    
    Undecided
    
    Fairly dissatisfied
    
    Very dissatisfied
  3. Please tell us briefly why you were dissatisfied (optional)
  5. Did we give you information that was easy to understand?
    
    Very easy
    
    Fairly easy
    
    Undecided
    
    Fairly difficult
    
    Very difficult
  7. Were we helpful?
    
    Very helpful
    
    Fairly helpful
    
    Undecided
    
    Fairly unhelpful
    
    Very unhelpful
  9. How informative did you find your staff?
    
    Very good
    
    Fairly good
    
    Undecided
    
    Fairly poor
    
    Very poor
  11. How well did we keep you up to date with progress?
    
    Very well
    
    Fairly well
    
    Undecided
    
    Fairly poor
    
    Very poor
  13. How well did we listen to what you had to say?
    
    Very well
    
    Fairly well
    
    Undecided
    
    Fairly poor
    
    Very poor
  15. Would you recommend us to someone else if they needed advice?
    
    Certain to
    
    Likely to
    
    Undecided
    
    Unlikely to
    
    Certain not to
  17. Please tell us why you would or you wouldn't recommend us to someone? (optional)
  18. Do you have any further comments or suggestions that may help us to improve our level of service? (optional)
  19. Was the outcome of your case better, worse or the same as advised?
    
    Better
    
    Same
    
    Worse
  21. Is there any alternative way you would like to access this service?
    
    Yes
    
    No
  22. Please give details of how you would like to access the service differently (optional)
5. Preston City Council will use your information in a manner compatible with the General Data Protection Regulation (GDPR).
  
  Any disclosures or sharing of information will only take place where required or permitted by law. For further information please see our privacy notice .

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Client feedback questionnaire