Stockton Home Improvement Agency

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As a recent user of one of the services offered by the Home Improvement Agency, we would like to ask you to please take a few minutes to complete our short survey. All responses are strictly confidential and only used for service evaluation purposes.

We are committed to improving our standard of service where possible and therefore welcome your feedback, all responses are strictly confidential.

Name:

(Required)

Address:

(Required)

Postcode:

(Required)

How did you become aware of the service? (Please select all that apply)

Occupational Therapist Home Improvement Agency Officer Advice Agency Stockton Information Directory Stockton Borough Council's Social Media Pages Other

If other - please specify

How satisfied are you...

Did the member of staff advise you about how to use the item installed / the works completed?

Yes No N/A

If you answered no to the above question. Do you need any further assistance at this time?

Yes No

Thinking about the impact the service has had on you in your home, has this increased your sense of…

Ability to remain in your home /preventing a move Ability to return home following a hospital stay Safety Security Independence

Was an offer to refer to Cleveland Fire Brigade for a free home safety check by a support service made available to you?

Yes No

If you answered no to the above question. Would you like a referral to be made now?

Yes No

If you could improve the service received what would you change and how?

Your participation in this survey and your views are very important to us. We process your information in accordance with the principles set out in the Data Protection Act 2018. Stockton-On-Tees Borough Council will use the information you have provided to develop and improve services. We are processing your personal data with your consent, and we will retain information for a period of three years. You have the right to withdraw your consent at any time, please contact viewpoint@stockton.gov.uk. For more information on about your information and data protection, please go to: www.stockton.gov.uk/dataprivacy

(Required) I agree to the above statement.