Birmingham Community Mental Health Services Feedback

1. Feedback Form

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Please tell us the name of the service you are providing feedback about

Please tell us about your experience

Based on your experience is there anything you would like to see improved about community mental health services in Birmingham?

In relation to your comments are you:

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What gender do you identify yourself as?

What is your sexual orientation?

Which age group are you in

Do you consider yourself to have a disability?

Do you have a long term condition

What is your religion?

What is your ethnicity?

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