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Day Services Team:

You are invited to participate in our survey Day Services Zone Evaluation. It will take approximately 5-10 minutes to complete the questionnaire.


Your participation in this study will help us to identify what's working well and what isn't, and to make the appropriate improvements.
Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Bernie at 01332 370400 or by email at the email address specified below.


Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.


 
 

How useful is the information you get from the referral form?
 
 

What, in your opinion would we need to make the referral form work for you
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
Referring into another zone is easy !
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
Allocation into each zone is working well
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
The suitability of the allocation is made according to individual strengths of the keyworker i.e crack/alcohol/cultural
 
 

Strongly Agree Agree Neutral Disagree Strongly Disagree
The referral time in between zones is adequate?
 
 
 
* Allocation should be made on the basis of..
 
keyworker specialism
 
gender
 
age
 
cultural needs
 
client choice
 
 
 
Additional Comments/Suggestions for improvement
   
 
Please contact [email protected] if you have any questions regarding this survey.
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