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Example Service User and Carer Feedback Form Student. Agency. 1. Please tick a box for each question. Questions Strongly agree Agree Not sure Disagree The student social worker explained clearly why we were meeting. informed about what was happening. rights were including my right to complain. be confidential and what information might need to be shared* honest about what the options were. was good at time-keeping. was easy to contact. what they said they would do. me in decisions made about myself* I was treated respectfully by the student social worker. I felt comfortable talking I felt the student social worker understood what I was saying and how I was feeling. Overall I think that the work I did with the student social worker was successful* 2. We would welcome any further comments that you might like to make 3. Do you have any suggestions about how we can improve these questions Signed. Sheffield Hallam University Date. informed about what was happening. rights were including my right to complain. be confidential and what information might need to be shared* honest about what the options were. was good at time-keeping. was easy to contact. what they said they would do. me in decisions made about myself* I was treated respectfully by the student social worker. was good at time-keeping. was easy to contact. what they said they would do. me in decisions made about myself* I was treated respectfully by the student social worker. I felt comfortable talking I felt the student social worker understood what I was saying and how I was feeling. I felt comfortable talking I felt the student social worker understood what I was saying and how I was feeling. Overall I think that the work I did with the student social worker was successful* 2. We would welcome any further comments that you might like to make 3. Overall I think that the work I did with the student social worker was successful* 2. We would welcome any further comments that you might like to make 3. Do you have any suggestions about how we can improve these questions Signed. Sheffield Hallam University Date. informed about what was happening. rights were including my right to complain. be confidential and what information might need to be shared* honest about what the options were. was good at time-keeping. was easy to contact. what they said they would do. me in decisions made about myself* I was treated respectfully by the student social worker. I felt comfortable talking I felt the student social worker understood what I was saying and how I was feeling. was good at time-keeping. was easy to contact. what they said they would do. me in decisions made about myself* I was treated respectfully by the student social worker. I felt comfortable talking I felt the student social worker understood what I was saying and how I was feeling. Overall I think that the work I did with the student social worker was successful* 2. We would welcome any further comments that you might like to make 3. I felt comfortable talking I felt the student social worker understood what I was saying and how I was feeling. Overall I think that the work I did with the student social worker was successful* 2. We would welcome any further comments that you might like to make 3. Do you have any suggestions about how we can improve these questions Signed. Sheffield Hallam University Date.

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