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Feedback Form

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We hope you found all the information you needed in this Service Directory.

Please spare a moment of your time to answer the questions below. This will help us to find out if the Service Directory has been useful and whether we can improve in the future.

 

Should you wish to comment on any mental health services you have received within the RCT or MT areas, there is space to do so.

 

We are not collecting personal data; - all information that we gather is to aid ongoing development and improvement of the Directory only.

 

1. Did you find the Service Directory useful?
2. Easy to use?
3. Easy to understand?
4. Are you aware of any mental health services not listed here? (please list below)

Comment:

 
 

 

Comments about the guide:

Comments about mental health services you have received within RCT and MT:

Your details

5. Are you a service user?
6. Do you work in the field of mental health?

 

EQUAL OPPORTUNITIES MONITORING

Please tick the appropriate boxes
GENDER Female Male
DISABILITY    

Do you consider yourself to have a disability as defined by the Disability Discrimination Act 1995: ‘a physical or mental impairment which has a substantial and long-term adverse effect on the person’s ability to carry out normal day-to-day duties’?

 

ETHNIC ORIGIN    
Which group below do you most identify with?
White
 
Asian
Bangladeshi
    Indian
    Pakistani
   
Any other Asian background     
                                        
 
Black
African
    Caribbean
   
Any other Black background (specify if you wish)
 
Chinese
   
(specify background if you wish)
 
Mixed Ethnic Background
Asian and White
    Black African and White
    Black Caribbean and white
   
Any other mixed ethnic background (specify if you wish)
 
Other
(specify if you wish)
NATIONALITY    
Which group below do you
most identify with?
   
Welsh  
English  
Scottish  
British or Mixed British  
Irish  
     
Other (Please specify if you wish)