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All content © 2016 Coventry City Council. All rights reserved.

Are you able to provide us with feedback about your experience of using the Coventry Adult Social Care Information Directory? Your feedback will be anonymous and used by the Council for evaluation and improvement of the Directory.

Feedback survey for Adult Social Care Information Directory

Please do not change the value of the following field. It is used to detect spam and changing its value may result in your submission being rejectedPlease do not change the value of the following field. It is used to detect spam and changing its value may result in your submission being rejected

1 Had you used the directory before today?

Yes No Don't know

2 Who were you looking to obtain information for today?

Myself Friend Family member Person I care for Member of the public Other Rather not say

3 Did you find the information you wanted?

Yes, completely Yes, partially No

4 How easy was it to use the directory to find the information you wanted?

Very easy to find Fairly easy to find Fairly difficult to find Very difficult to find

5 How likely are you to recommend using the directory to a friend or family member if they need information about adult social care?

Extremely likely Likely Neither likely or unlikely Unlikely Extremely unlikely Don't know

6 Was there any information you wanted, missing from the directory?

Yes No

If yes, what was the missing information?

7 What one thing would improve your experience of using the directory today?

We may want to contact you so we can discuss your responses and identify how user's experience of the Directory might be improved. If you are happy to be contacted please provide your details below.

Name:

Telephone number:

Email:

Are you able to provide us with feedback about your experience of using the Coventry self-assessment service? Your feedback will be anonymous and used by the Council for evaluation and improvement of the self-assessment service.

Feedback survey for self-assessment service

Please do not change the value of the following field. It is used to detect spam and changing its value may result in your submission being rejectedPlease do not change the value of the following field. It is used to detect spam and changing its value may result in your submission being rejected

1 Who were you completing the self-assessment for today?

Myself Friend Family member Person I care for Member of the public Other Rather not say

2 How easy was it to answer the self-assessment questions?

Very easy Quite easy Quite difficult Very difficult

What was it about the questions you found difficult to answer?

3 How useful was the information provided at the end of the self- assessment?

Very useful Useful Little use No use

Why wasn't the information useful to you?

4 Did you create an information brochure from the results?

Yes No Didn't realise I could do this

5 How likely are you to recommend using the self-assessment to a friend or family member if they need information about adult social care?

Extremely likely Likely Neither likely or unlikely Unlikely Extremely unlikely Don't know

6 Was there any information you wanted missing from the self-assessment results?

Yes No

If yes, what was the missing information?

7 What one thing would improve your experience of using the self-assessment?

We may want to contact you so we can discuss your responses and identify how user's experience of the Adult Social Care self-assessment might be improved. If you are happy to be contacted please provide your details below.

Name:

Telephone number:

Email:

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Please do not change the value of the following field. It is used to detect spam and changing its value may result in your submission being rejectedPlease do not change the value of the following field. It is used to detect spam and changing its value may result in your submission being rejected

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