Professional Support Feedback Form

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1. At the London Borough of Hillingdon, we are committed to delivering exceptional service to our residents. Your feedback is a vital part of this commitment. It provides us with insights into the work of our Council Officers and helps us identify areas for improvement. By sharing your thoughts on the support you received, you are directly contributing to our ongoing efforts to enhance our services. We are also dedicated to creating further opportunities for residents like you to actively participate in our service review processes. Your voice matters to us, and we thank you in advance for taking the time to help us improve and continue to deliver for Hillingdon Residents.
  
  If a paper version of this form is needed, please notify the Council Officer and one will be arranged
2. Please select the professional you are providing feedback on:*
  
  Social Worker
  
  Direct Payment Officer
  
  Occupational Therapist
  
  Positive Behaviour Support worker
3. Please select an option
4. 1. How clear was the explanation for your visit from the Council Officer?
  1. Scale: 5 (Very Clear) – 0 (Not Clear at All) *
5. 2. Did you feel listened to by the Council Officer?
  1. Scale: 5 (Very Effective) – 0 (Not Effective)*
6. 3. Were your views taken into consideration during your assessment or any other work conducted with you?
  1. Scale: 5 (To a Great Extent) – 0 (Not at All)*
7. 4. How significant was the benefit you received from the work done by the Council Officers?
  1. Scale: 5 (Significantly) – 0 (Not at All)*
8. 5. To Overall, how satisfied were you with the arrangements and communication provided by the Council Officer?
  1. Scale: 5 (Very Satisfied) – 0 (Not Satisfied)*
9. 6. How easy was it to communicate and engage with them?
  1. Scale: 5 (Very Easy) – 0 (Not at All)*
10. Additional Feedback
  1. Is there anything specific you would like to highlight about your experience?
  2. Would you be interested in participating in a Council Coproduction Group*
    
    Yes
    
    No
  3. Contact Details
    
    Name
    
    Email
    
    Phone
    
    Address
    
    Find Address
    
    Postcode
    
    Address
    
    Label
    
    Street
    
    Town
    
    Postcode
    
    Region
    
    Country
  4. In what capacity are you providing feedback*
    
    As a resident of Hillingdon
    
    Representing a resident of Hillingdon
    
    As a parent or guardian
    
    As a professional representing a resident of Hillingdon
  5. Your feedback is invaluable and will help us enhance our services. Thank you for taking the time to share your thoughts