Skip to Main Content
Menu
Search
Find activities
Reablement Service - Feedback Questionnaire
Page 1 of 5
Closes
30 Apr 2027
This service needs
cookies enabled
.
Page 1
Who referred you to the Reablement Service? Please consider the list below and put a tick against the most appropriate option for you.
My GP
District Nurse
Social Care Services
Accident & Emergency Department
Hospital Ward
Other
If you selected other please specify:
Before receiving help/support from the Reablement Service, to what extent do you feel you were involved in AND had enough chance to influence the following things? Please put a tick in each row below as appropriate.
Very much
To an extent
Not at all
Can't remember
The way in which my care was organised
Very much
To an extent
Not at all
Can't remember
The amount of help I need
Very much
To an extent
Not at all
Can't remember
Comments about the care received before Reablement Services were involved:
Before receiving support from the Reablement Service, did you receive any written information about the Service? Please tick the most appropriate answer below.
Yes
No
Not Sure
If you answered ‘YES’ to the above question, how helpful was that information? Please tick the most appropriate option below.
Very Helpful
Quite Helpful
Not Helpful
Can't Remember
Comments about the written information
Did the support you receive contribute to making you feel safe?
Yes, I felt safe
No, I did not feel safe
It did not change how I felt regarding safety
Not answered
Continue
Save and come back later…
