Breathing Space: Feedback Form

Thank you for taking the time to complete our service feedback form. Your feedback can be submitted anonymously if you wish, and will be used to grow and improve our Breathing Space service here at Bath Mind.

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Your name (optional)

The name of the support worker or service you worked with

We would like you to think about your recent experience of our service. On a scale of 1-10, how useful did you find Bath Mind’s service?

(10 = really useful; 1 = not useful at all)

Is there anything that could have made your experience better?

How likely are you to recommend Bath Mind to friends and family if they needed similar services, care, or treatment? 

Thinking about your response to this question, please tell us why you feel this way?

Do you feel that you received appropriate support from Bath Mind?

Thinking about your response to this question, please tell us why you feel this way?

Is there anything else you would like to tell us?

Would you be happy for Bath Mind to use your comments to help promote our services?

If you marked yes, please complete Bath Mind's Data and Consent form.

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Breathing Space: Feedback Form