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Feedback - Your Say!
We will appreciate your feedback on our services.
We want to know what you think about The Haven and its services. We want you to have YOUR SAY so we can improve the service we offer. This form is for comments and complaints. Complaint procedure is also available to help you to make a complaint about our services (Ask member of staff for details). Please take five minutes to complete the YOUR SAY Questionnaire. Your reply will be treated as confidential. You do not need to put your name on the form.
Please complete the Feedback Form (.pdf file) attached and send it to The Haven Wolverhampton, PO Box 105, Wolverhampton, or e-mail to the Performance Officer (performance@havenrefuge.org.uk), or complete the form on line below:
1. Please tick services used:
Referral Line:
Residential:
Resettlement:
Welfare & Benefit Advice:

Floating Support:

Counselling:
Advocacy:
Children's Services:
2. Were the services used:    
Good


3. Please tick the type of support you received:
Accommodation:
Advocacy:

Benefits:

Attending Appointments:
Furniture:
Clothing:
Children's Issues:
Childcare/Respite:
Information:
Health Issues:
Household goods:
Group Work/Activities:
Nursery Places:
Rehousing:
School Placements:
Referral to Agencies:
Support Groups:
Training:
Space to Talk:
Support with a course:
Other (Please Specify):
4. Was the support received:


Comments:
5. Were The Staff:
Approachable:
Professional:
Helpful:


Comments:
6. When You Visited / Stayed at The Haven:
Were you welcomed?

Was it clean and tidy?


Did you feel safe?


Did you feel listened to?


Comments:
7. Did you get information about all The Haven Services and how to access them?

Yes

Comments:
8. Was there other support you would have liked?


Comments:

9. Was there anything about The Haven and its services that you didn't like?

Yes

Comments:

Any further comments:
10. Would you like to talk to someone about your experience at The Haven or your ideas to improve our services?


If YES, please provide your contact details:

Name:

Address:

Phone No:

11. The Haven Donations
Were you informed about donations available to you?
Did you receive donations while resident?
Any other comments:
Thank you for completing the 'Your Say' questionnaire
 
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on 12/07/06		 Visitors since
01/01/05: