Please tick this box if the form is being completed on behalf of the addressed person
Reference number (this can be found at the top of the letter)
Maximum 20 characters
0/20
How satisfied were you with the service you received from the Adaptations Team who carried out your Occupational Therapists’ recommendations.
Very poor
Not Good
Okay
Good
Great
Did you contact the Adaptations Team after you received a letter from our team?
Was the time you had to wait for your adaptation to be started reasonable?
Regarding the works that were completed in your home by the contractor
If No to any of the above, please elaborate further
Were you happy with the communication throughout the process?
Is there anything you would like to suggest to help us improve our service?
Your postcode
Please tick here if you have said no to any of the above and would like to speak to someone.