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* 1. Which service did you access?

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* 2. Remembering the changes you wanted to make in your life before accessing this service has your experience with Safeline helped you to make these changes? Please rate where 1 is Not at all and 10 is Yes it's been really helpful.

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* 3. How do you rate the particular service you received at Safeline? Please rate where 1 is very poor and 10 is very good.

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* 4. Could you share what these or other changes are?  For example, something specific that your experience with Safeline enabled you to do or to stop doing which could be a way of thinking, feeling or behaving.

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* 5. Are there any comments you would like to make about the service?  For example, things you have found helpful or unhelpful or how  we may improve our services.

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* 6. Would you recommend our service?

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* 7. How helpful did you find our website and the information you received from us?  Please rate where 1 is Not helpful and 10 is Really helpful

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* 8. If you visited our Safeline offices and counselling rooms how welcoming and comfortable did you find the environment and how might we improve upon this?

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* 9. Please can you describe your gender

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* 10. We would like to use your responses for research purposes, for funding applications and to monitor and improve our services. All responses remain anonymous.  
Do you give consent for us to use your responses anonymously? Please tick as appropriate:

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* 11. Would you like to become a member of our user involvement panel and help shape what we do and how we do it, give us your opinion on our information and services to inform and improve survivors’ experience of Safeline? If you’re interested, please get in touch via the contact details below.  Thank you

Safeline
6A New Street
Warwick
CV34 4RX

Tel: 01926 402498
Email: office@safeline.org.uk

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