SMOKEFREE City & Hackney Client Satisfaction Questionnaire
We want to offer a really great service to everyone who uses this service.  Any feedback you supply will be used to try to improve the service.  All feedback and comments are anonymous.  
Sign in to Google to save your progress. Learn more
How many sessions did you attend?
Venue (If telephone consultation, just type Telephone)
Did you speak to the same advisor at each session?
Clear selection
Advisor Name
Have you given up smoking or are you still making a quit attempt?
Clear selection
How did you hear about this service?
How easy was it to get to see a stop smoking advisor?
It was very difficult
It was very easy
Clear selection
Was the venue in a convenient location for you? If it was over the phone, was the remote support convenient for you?
Not at all
Really convenient
Clear selection
In order to help us improve the service, please tell us which of the following you think is best:
Clear selection
What did you think of your stop smoking advisor
Unhelpful
Very helpful
Clear selection
Did you feel the service met your needs?
No, not at all
Yes, it really did
Clear selection
Did you feel respected by the advisor/s?
No, not at all
Yes, definitely
Clear selection
Were you satisfied with the quality of the service as a whole?
Very Dissatisfied
Very Satisfied
Clear selection
If you have any further comments or suggestions on how we can improve the service please write them here: What could we do better?  Was there anything you particularly disliked? Remember this feedback is anonymous, so if you would like us to contact you please email us at smokefree.cityandhackney@nhs.net
Would you be interested on sharing your story with us? Hearing your quit story can help other people quit. Leave your contact details below if you are interested and we'll get back in touch with you.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms