Thank you for choosing to leave feedback about the service you have received from SAFE
The information you provide us is for: monitoring performance, developing services and to make the service accountable in order to show effectiveness.
No personal information is retained from this form* and all statistical evidence produced is in complete anonymity.
*unless requested below for the purposes of discussing the service you have received from SAFE/ASNEW.
How did you find out about SAFE? Please choose Leaflet Poster Friend/Family I am a previous client Flintshire Wellbeing brochure Community Living Growing Places Wellbeing Team Conwy Dinorben centre Social Services ASNEW.org.uk Search engine e.g. Google, Bing Other How easy was it for you to access SAFE?
When you first joined, what was most important to you? To what extent do you agree or disagree with the following statements?
Please select one answer per row
Do you have any additional comments or suggestions? I would * like to remain anonymous like to leave my contact details so that I can be contacted about my feedback
Please be assured that any concerns raised will NOT affect the service you receive from ASNEW either now or in the future.
Equal Opportunities - Equality and Diversity
Advocacy Services North East Wales believe in equal opportunities for everyone.
Although this section is voluntary, we ask you to please help us to monitor our service procedures by completing the following questions.
I identify my gender as... Please select Female Male Transgender Genderqueer Agender Genderless Non-binary Cis Man Cis Woman Third Gender Two-Spirit Bigender Genderfluid Other (please state) My sexual orientation is... Please select Straight/Heterosexual Gay or Lesbian/Homosexual Bisexual Other sexual orientation (please state) Do you consider yourself to have a disabilty? Please select Yes No What is your ethnic background? Please select Asian or Asian British Black or Black British Mixed White Other Your age range Please select Under 18 18-24 25-34 35-49 50-64 65-74 75-84 85-94 95+ Do you live in a rural area?