1. Please outline the service you were using when you noticed an opportunity to improve, where were you and when was it?
2. Please briefly explain the circumstances in which you noticed the opportunity to improve
3. Please outline what you think could be done to improve the service or alleviate a problem
4. Have you made a complaint about the service?
5. Have you made your idea for improvement known to the organisation?
6. If you have, how did you submit this?
7. If you haven't made your idea know, what stopped you? Please tick all of those that apply.