Rowan Customer Feedback Form

* 1. Please provide your contact details:

Your Name

Name of Service User

Phone Number

Email Address

* 2. Were you satisfied with the level of support provided by your local representative (ILA) of The Rowan Organisation?

Very Satisfied

Satisfied

Unsatisfied

If you wish, please provide further information.

* 3. Were you satisfied with the length of time it took for your ILA to respond when you tried to contact them?

Very Satisfied

Satisfied

Unsatisfied

If you wish, please provide further information.

* 4. Can you suggest any improvements to the service we offer?

Yes - Please See Comment Below.

No - I am Satisfied with the Support Provided.

Comments:

* 5. Do you have anything you would like to share with us regarding your experience of Direct Payments / Personal Budgets / Personal Health Budgets / Support Planning?

Yes - Please See Comment Below

No

Comments:

* 6. Are you interested in joining our Board of Membership and having the opportunity to participate in discussions regarding the management and direction of the Rowan Organisation. We would welcome your input and will contact you to discuss should you like further information?

Yes - Please Provide More Details

No

* 7. Do you have any other comments, questions, or concerns?