Feedback

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Havering child and adolescent speech and language therapy service feedback form

Note: Questions marked by * are mandatory

*This is a mandatory field. What was the nature of your appointment session today?

Review assessment session
Initial assessment
Individual therapy
Group Therapy

*This is a mandatory field. Did the service meet your expectations?

Yes
No

*This is a mandatory field. How likely are you to recommend this service to friends and family if they needed similar care or treatment?

Extremely Likely
Likely
Unlikely
Extremely unlikely

*This is a mandatory field. Do you feel you have been involved in the care of your child?

Yes
No

*This is a mandatory field. Please tell us what you thought about our service (do not share your child's name and personal information)

Do you have any recommendations?

Is there any member of staff who you found particularly helpful?

Please share your email or telephone number should you like us to get back in touch with you.

NELFT NHS Foundation Trust
CEME Centre – West Wing
Marsh Way
Rainham
Essex
RM13 8GQ

Telephone: 0300 555 1200

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