City of London Health & Social Care Service Feedback


1. For which service are you providing feedback? (Please write the name of the service) *


2. Summarise your experiene of using the service


3. How long ago did you last use the service? *


4. How likely is it that you would recommend this service to a friend or colleague? *

Not at all likely Extremely likely

5. How would you rate the service for the following:

Staff Attitude
Waiting Time
Treatment explanation
Quality of care (if applicable)
Quality of food (if applicable)

6. Is there anything else you would like to say about the service?

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