Carers Resource Feedback Form

1 Start 2 Complete

About you

I am a carer

I am a professional

Your details

First name *

Last name *

Email address *

Phone number (optional)

Organization Name *

Your feedback

Overall, were you happy with the service you or your client received from Carers' Resource?

Yes

Please, give more details, if you wish

Your details

If you would prefer to leave feedback anonymously, please select 'yes' in the box below. Or, if you are happy for us to link your feedback to your record with us (or if you would like to be contacted about your feedback), please fill in your first name, last name, and email address.

Which area(s) covered by Carers' Resource do you and the person(s) you care for live?

You can select more than one area, if you live in a different area to the person you care for.

Would you like your feedback to be anonymous

Note that we will not be able to provide a response to anonymous feedback

First name *

Last name *

Email *

Phone Number

Your feedback

Overall, were you happy with the service you received from Carers' Resource? *

What could we have done better?

After support from Carers' Resource...

I understand more about the support and services available to me and/or the person I care for

I am better informed about welfare benefits and financial choices

I have been supported to consider planning for the future

I am better able to look after my own health and wellbeing

I have been encouraged to consider my own needs as a carer and individual

I feel more able to take time for myself and be involved in activities outside my caring role

I feel more confident that my opinions are respected and I can manage my caring role

I am more satisfied with the support that I and the person I care for receive

The service I received from Carers' Resource was useful and relevant for me

I would recommend Carers’ Resource to others

Tell us about the difference being in touch with Carers’ Resource has made to you, and/or the person you care for

Do you have any other comments about how we could improve our service?

Would you like to be contacted about your feedback?

Please make sure you complete your contact details (first name, last name and email) if you wish us to contact you about your feedback!

Subscriptions and mailings

I would like to receive Choices newsletter by email

I would like to receive Choices newsletter by post

I would like to receive other emails about news and events

I would be willing to share my carer's story

I would like more information about the carers forum

Street address *

City/town/village

Postal Code *

County

Leave this field blank

You are here

Carers Resource Feedback Form