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SMHF Belmont Connect Service Feedback Form
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Please tell us what you think about your experience of the Belmont Connect Service
Your feedback is very important to us. It helps us to improve if we are falling short of expectations, and to know when we are doing things right. We would be very grateful if you could take a few minutes to fill in this questionnare to let us know what you think. Many thanks.
Overall, how was your experience of the Belmont Connect?
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Very good
Good
Neither good nor poor
Poor
Very poor
I don't know
Very good
Item #3 Very good
Good
Item #3 Good
Neither good nor poor
Item #3 Neither good nor poor
Poor
Item #3 Poor
Very poor
Item #3 Very poor
I don't know
Item #3 I don't know
Please tell us why:
Has attending the Belmont Connect helped with your wellbeing?
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It has really helped
It has been quite helpful
Nothing has changed
It has been a bit unhelpful
It has been very unhelpful
I don't know
It has really helped
Item #3 It has really helped
It has been quite helpful
Item #3 It has been quite helpful
Nothing has changed
Item #3 Nothing has changed
It has been a bit unhelpful
Item #3 It has been a bit unhelpful
It has been very unhelpful
Item #3 It has been very unhelpful
I don't know
Item #3 I don't know
Has attending the Belmont Connect helped you to improve your quality of life, for example, feel healthy, comfortable and participate or enjoy day to day activities
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It has really helped
It has been quite helpful
Nothing has changed
It has been a bit unhelpful
It has been very unhelpful
I don't know
It has really helped
Item #3 It has really helped
It has been quite helpful
Item #3 It has been quite helpful
Nothing has changed
Item #3 Nothing has changed
It has been a bit unhelpful
Item #3 It has been a bit unhelpful
It has been very unhelpful
Item #3 It has been very unhelpful
I don't know
Item #3 I don't know
Has attending the Belmont Connect helped reduce your need to see the GP or the use of Mental Health Services?
Yes
No
I don't know
If a friend or family member needed help, would you recommend attending the Belmont Connect to them?
Yes
No
I don't know
What about the Belmont Connect has helped you the most?
What about the Belmont Connect has helped you the least?
Anything else you would like to tell us about your experience of the Belmont Connect:
May we contact you for more information about your comments?
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Yes
No
Name
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How would you prefer we contact you?
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Telephone
Email
Telephone number
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Email address
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GDPR Agreement
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