Here you can give feedback anonymously or you can leave your details for us to contact you! Let us know about the experiences you've had within mental health and/or drug & alcohol services.

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* 1. What service did you access?

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* 2. Where do you live in the county?

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* 3. Where did you access the service?

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* 4. Tell us about your experience!

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* 5. How would you rate your experience using the faces below?

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* 6. If you would like us to contact you about your feedback please leave your details below.

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* 7. If you would like to be entered into a chance to win a £20 Costa voucher please tick the box below. (Winner will be contacted via email on the 30th September).

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* 8. Please leave your address so we can send you the Costa voucher if you win!

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