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HELP-US-TO-IMPROVE-OUR-SERVICES

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HELP-US-TO-IMPROVE-OUR-SERVICES

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									    STARRS
SERVICE USER QUESTIONNAIRE




          September 2006
Help us to improve our services

What did you think of the service you received from STARRS?

This survey is an opportunity for you to tell us your views, in confidence. It
will help us to improve the service where needed, and to say ‘well done’ to
staff when things have gone well. Both are important to ensure we continue
to monitor and improve our services.

How can you help?

By completing the attached questionnaire and returning it to me in the
stamped addressed envelope. Please try not to feel daunted by it, as it
should only take a short time to complete.

You do not have to put your name and address on the form if you do not
wish to do so.

Please feel free to put in any additional comments in the space provided at
the end of the form. If you would like someone to contact you about your
comments, please provide your name and address in the space provided. If
you would like some help completing the questionnaire, we can provide
someone, independent of the service, to assist you. If you would like to
discuss your comments with the STARRS Co ordinator, please contact me.

Thank you for your help.




Inge Eggerton
STARRS Co-ordinator
South Annexe, County Offices
Bath Street, Hereford
HR1 2HQ

Or telephone me on: (01432) 261770




STARRS questionnaire: Revised September 2006
                                               2
How to fill in this questionnaire
Below are a series of statements. Let me know if you agree or disagree
with each statement by ticking the box which most closely matches your
views.
There are 3 sections and 12 questions, please complete them all.

Section 1. Before the service started.
1.      I was given clear information about the service before it started.
                                                   Yes
                                                    No
                                               Not sure

2.      I was fully involved in how the service was set up.
                                                   Yes
                                                    No
                                               Not sure

3.      Did you feel under pressure to accept or refuse the offer of the
        STARRS service.
                                   Yes
                                                    No
                                               Not sure

Section 2. While you were receiving the service.
4.      I was clear about the purpose of the STARRS service from the start.
                                                   Yes
                                                    No
                                               Not sure

5.      I was fully involved in the process of achieving greater independence.
                                                   Yes
                                                    No
                                               Not sure

STARRS questionnaire: Revised September 2006
                                                          3
6.      I believe the staff helped me gain the confidence I needed to become
        more independent.
                                    Yes
                                                    No
                                               Not sure

Section 3. After the service had stopped.
7.      I felt that I had achieved the goals set out at the start of the service.
                                                   Yes
                                                    No
                                               Not sure

8.      I feel able to do more things for myself since the service has ceased.
                                                   Yes
                                                    No
                                                 Some
                                               Not sure

9. I would be willing to use the STARRS service again if needed.
                                                   Yes
                                                    No
                                                 Some
                                               Not sure

10. I feel that I have all the services I need at the moment.

                                                   Yes
                                                    No
                                                 Some
                                               Not sure




STARRS questionnaire: Revised September 2006
                                                          4
Finally, if there are any other comments you would like to make, please put
them in the space below:




Name:

Address:




Telephone Number:


Please return this questionnaire in the stamped addressed envelope
provided.



Thank you for your help.




STARRS questionnaire: Revised September 2006
                                               5

								
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