Family Feedback Form Family Feedback Form How did you first hear about Home-Start?(Required) A professional such as my Health Visitor, Midwife, school etc. A family member or friend Search engine such as google Social media Poster or leaflet Other Other(Required)Please tell us why you decided to accept support(Required)Please tell us how satisfied you are with the followingHow well the service was explained to you prior to referral(Required) Excellent Good Okay Not good Very poor Waiting time from referral to support starting(Required) Excellent Good Okay Not good Very poor The support you received from the Coordinator and/or Family Worker(Required) Excellent Good Okay Not good Very poor If applicable, the support you received from your volunteer(Required) Excellent Good Okay Not good Very poor Please add any comments you havePlease tell us how we could improve our serviceHow did you feel about accessing support from us before we met you, compared to once support started?Has your experience of Home-Start been different to the support you’ve received from other services and, if so, why?How involved have you felt in planning the support you needed?(Required) Fully involved with all aspects Somewhat involved Somewhat uninvolved Completely uninvolved in all aspects Other Other(Required)How likely are you to recommend Home-Start to a friend?(Required) Very likely Likely Somewhat likely Neither likely nor unlikely Somewhat unlikely Unlikely Very unlikely Please describe your overall experience with Home-Start in 3 words(Required)Would you be interested in volunteering with us?(Required) Yes! Please send me more information Maybe. Please contact me in the future. No thank you
