Feedback Survey
Tell us what you think about our leisure services
Full name of service user
*
First Name
Last Name
If you are completing this form on behalf of a service user please state your name and relationship
First Name
Last Name
Relationship to service user
How long have you used the leisure services at Basingstoke Mencap?
Please Select
Less than 1 year
1-3 years
3-5 years
More than 5 years
Which leisure activities or clubs do you currently attend
Do you feel the service/s offer good value for money?
*
Yes
No
Not sure
Additional comments relating to value for money (optional)
What do you enjoy most about visiting Basingstoke Mencap's leisure services or clubs?
How has visiting our services or clubs helped you with your disability?
Are there any activities (previous or new) or excursions you would like to request?
How could we improve our services?
Would you be willing to recommend us?
Yes
Maybe
No
Additional comments relating to whether you would recommend us
Submit
Should be Empty: