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Referrer feedback
Please complete this short form to tell us about your experience of referring to BBB.
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* Indicates required question
Please tell us your name
*
Your answer
Please tell us your role and organisation
*
Your answer
Do you find our website / finding the correct form for your referral easy to navigate?
Yes, it's straightforward / clear
No, it's confusing / not clear
Other:
Clear selection
How easy do you find our referral form(s) to complete?
*
Very easy
Not too bad
Complicated / frustrating
Not applicable
Regular referrals
Bed for Every Child referrals
Healthy Homes referrals
Very easy
Not too bad
Complicated / frustrating
Not applicable
Regular referrals
Bed for Every Child referrals
Healthy Homes referrals
Please give any relevant comments or suggestions for improvement for our website layout or referral forms here:
Your answer
How would you rate the service BBB provides to the clients you refer?
*
Very poor
1
2
3
4
5
Excellent
What impact do you feel the items we provide have had on the families you have referred? (tick as many as appropriate)
*
helped them to have more confidence / raised self-esteem
provided items they would not have been able to afford otherwise
enabled them to store / prepare healthy food (if you referred to our Healthy Homes programme)
enabled the child(ren) to get a better night's sleep (if you referred to our Bed For Every Child programme)
relieved stress & anxiety / improved mental health
enabled mum to feel prepared / better equipped for new baby/ies (if you requested a Newborn Pack)
positively impacted family members' physical wellbeing
Other:
Required
Reflecting on past referrals, how did you feel we performed in the following areas?
*
Excellent
Good
Satisfactory
Poor
not applicable
Speed of response to your request
Keeping you informed of our progress with the referral
Any other interaction you had with us
Excellent
Good
Satisfactory
Poor
not applicable
Speed of response to your request
Keeping you informed of our progress with the referral
Any other interaction you had with us
Are there any other items you wish BBB (or other local organisations) were able to provide for your clients?
Your answer
Please give any other comments (or ask any questions you'd like) here:
Your answer
If you have asked a question or would like a response to your feedback, please provide your email address below:
Your answer
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