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Adaptations and Equipment Survey – SEH

1.  

Please tick this box if the form is being completed on behalf of the addressed person

Maximum 20 characters

0/20

A reference number has been included at the of the page that will only be used to contact you if you would like to be involved in a forum or workshop. These are the ONLY circumstances under which this reference number will be used to identify you.
3.  

How satisfied were you with the service you received from the Adaptations Team who carried out your Occupational Therapists’ recommendations.

* required
4.  

Did you contact the Adaptations Team after you received a letter from our team?

* required
5.  

Was the time you had to wait for your adaptation to be started reasonable?

* required
Did they maintain communication throughout the process?
Did they treat you and your home with respect?
Were you happy with the standard of work?
8.  

Were you happy with the communication throughout the process?

* required
Select option

*This information is not made public, but used for demographic purposes.
11.  

Please tick here if you have said no to any of the above and would like to speak to someone.