Feedback

We love to get your feedback as it helps us to improve our service.

There are 4 forms you can choose from:

Brief Review / Feedback Form
Parent Carers Feedback Form
9-11 Year olds Feedback Form
12 -18 Year Olds Feedback Form

Brief Review / Feedback Form

Name

Feed Back / Review of our Service

If you are happy for us to share a quote to help inform others please tick here: If you would prefer us to keep the feedback private please tick here:

If you are happy for us to share your feedback, please write the initials you would like us to use:

Parent Carer Feedback Form

Feedback or comments about the service you have recieved from us

Q1. I feel that the people who have seen my child listened to me

Certainly True Partly True Not True Don't Know

Q2. It was easy to talk to the people who have seen my child

Certainly True Partly True Not True Don't Know

Q3. I was treated well by the people who have seen my child

Certainly True Partly True Not True Don't Know

Q4. My views and worries were taken seriously

Certainly True Partly True Not True Don't Know

Q5. I feel the people here know how to help with the problem I came for

Certainly True Partly True Not True Don't Know

Q6. I have been given enough explanation about the help available here

Certainly True Partly True Not True Don't Know

Q7. I feel that the people who have seen my child are working together to help with the problem(s)

Certainly True Partly True Not True Don't Know

Q8. The facilities here are comfortable (e.g. waiting area)

Certainly True Partly True Not True Don't Know

Q9. The appointments are usually at a convenient time (e.g.don’t interfere with work, school)

Certainly True Partly True Not True Don't Know

Q10. It is quite easy to get to the place where the appointments are

Certainly True Partly True Not True Don't Know

Q11. If a friend needed similar help, I would recommend that he or she come here

Certainly True Partly True Not True Don't Know

Q12. Overall, the help I have received here is good

Certainly True Partly True Not True Don't Know

Q13. What was really good about your care?

Q14. Was there anything you didn’t like or anything that needs improving?

Q15. Is there anything else you want to tell us about the service you received?

Name

9-11 Year Olds Feedback Form

Q1. Did the people who saw you listen to you?

Yes Only a little Not really Don't Know

Q2. Was it easy to talk to the people who saw you?

Yes Only a little Not really Don't Know

Q3. How were you treated by the people who saw you?

Yes Only a little Not really Don't Know

Q4. Were your views and worries taken seriously?

Yes Only a little Not really Don't Know

Q5. Do you feel that the people here know how to help you?

Yes Only a little Not really Don't Know

Q6. Were you given enough explanation about the help vailable here

Yes Only a little Not really Don't Know

Q7. Do you feel that the people here are working together to help you?

Yes Only a little Not really Don't Know

Q8. The facilities here (like the waiting area) are

Comfortable OK Not Convenient Don't Know

Q9. The time of my appointments was

Convenient OK Not Convenient Dont Know

Q10. The place where I had my appointments was

Easy to get to Ok to get to Hard to get to Don't know

Q11. If a friend needed this sort of help, do you think they should come here?

Yes Maybe Not Really Don't Know

Q12. Has the help you got here been good?

Yes Only a little Not Really Don't Know

Q13. What was really good about your care?

Q14. Was there anything you didn’t like or anything that needs improving?

Q15. Is there anything else you want to tell us about the service you received?

12-18 Year Olds Feedback Form

Q1. I feel that the people who saw me listened to me

Certainly True Partly True Not True Don't Know

Q2. It was easy to talk to the people who saw me

Certainly True Partly True Not True Don't Know

Q3. I was treated well by the people who saw me

Certainly True Partly True Not True Don't Know

Q5. I feel the people here know how to help me

Certainly True Partly True Not True Don't Know

Q6. I have been given enough explanation about the help available here

Certainly True Partly True Not True Don't Know

Q7. I feel that the people who have seen me are working together to help me

Certainly True Partly True Not True Don't Know

Q8. The facilities here are comfortable (e.g. waiting area)

Certainly True Partly True Not True Don't Know

Q9. My appointments are usually at a convenient time (e.g.don’t interfere with school, clubs, college, work)

Certainly True Partly True Not True Don't Know

Q10. It is quite easy to get to the place where I have my appointments

Certainly True Partly True Not True Don't Know

Q11. If a friend needed this sort of help, I would suggest to them to come here

Certainly True Partly True Not True Don't Know

Q12. Overall, the help I have received here is good

Certainly True Partly True Not True Don't Know

Q13. What was really good about your care?

Q14. Was there anything you didn’t like or anything that needs improving?

Q15. Is there anything else you want to tell us about the service you received?

Name

Mind and Body London

Feedback

Brief Review / Feedback Form

Parent Carer Feedback Form

9-11 Year Olds Feedback Form

12-18 Year Olds Feedback Form

Mind and Body London

Specialist Psychological Medicine Service for Children with Persistent Physical Symptoms

Mind and Body London ​

Feedback

Brief Review / Feedback Form

Parent Carer Feedback Form

9-11 Year Olds Feedback Form

12-18 Year Olds Feedback Form

Mind and Body London

Specialist Psychological Medicine Service for Children with Persistent Physical Symptoms

Mind and Body London