• Feedback form

    We want to know what you think about the support you received today. Everything you tell us is anonymous and confidential, and will only be used to monitor and develop this service.

  • Do you agree or disagree with the following?

  • I feel heard and believed
  • The support I received was sensitive to my needs/situation
  • The support I received today benefited from interaction with a support worker rather than automated information
  • Are you happy to answer some more questions about yourself?

  • Some information about you

    All the questions below are optional. You don't have to answer them. Anything you do tell us will stay private and anonymous.
  • Gender
  • Is your gender the same as the sex you were registered at birth?
  • Ethnicity
  • Age
  • Sexual orientation
  • Region
  • Are you disabled?
  • Type of disability (choose as many as apply)
  • Should be Empty: