Section 1 - To be completed before your appointment

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* 1. Name of Advisor

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* 2. Where did you see the Advisor?

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* 3. Month

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* 4. What services did you access/want to access at the Community Hub? (Please tick all that apply)

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* 5. How long was your wait from requesting the appointment to your actual appointment date?

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* 6. Are our reception staff friendly and welcoming?

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* 7. Did you find the waiting area comfortable?

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* 8. If no to any of the above, please provide further details

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* 9. Do you have any suggestions on how our waiting area could be improved?

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* 10. Was the advice you received

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* 11. Did you understand all the advice received?

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* 12. How did the advice worker make you feel? (please select all that apply)

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* 13. Overall how would you rate the service you received?

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* 14. How do you feel about your general wellbeing? - Prior to receiving advice and support

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* 15. How do you feel about your general wellbeing? - After receiving advice and support

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* 16. How has the advice/support helped? (Please select all that apply)

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* 17. The advice and support I have received has improved my quality of life

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* 18. Please also feel free to make any other comments and/or suggestions on our service.

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* 19. Our Community Centre is able to offer a variety of activities. Please let us know what activities/groups you would be interested in attending. Please select all that apply. 

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* 20. If you have ideas of other activities please let us know

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* 21. If you would like us to send you details about our activities please provide your contact details

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