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D&G Carers Centre Feedback Form
Your Feedback Matters!
7
Questions
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1
Please select the service you wish to tell us about.
Activity groups
Support from staff
Grants/Funding
Respitality
Other
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2
Please tell us your feedback, comment or suggestion.
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3
What difference did this make to you?
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4
We sometimes share feedback on our social media accounts and in our newsletters. Are you happy for us to share your feedback for these purposes?
Yes
No
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5
Would you like us to anonymise your feedback?
Yes
No
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6
Date
-
Date
Day
Month
Year
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7
Name
First Name
Last Name
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