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Support service feedback
Thank you for taking the time to fill out our feedback form, it should only take about two minutes. We would really like to hear from you about our services, and if there is anything that we can do to improve them.
How did you hear about our services?
Which of our services have you used?
select...
TESS text
TESS email
Web based information
Information via post
How often do you use our services?
Once
Occasionally
Regularly
What was the main reason for your latest contact?
select...
Someone to support me
Information about self-injury
As a way of putting off hurting myself
To tell someone about my self-injury
Other...
If other, please say what
Our aim on our support services is to offer non-judgemental support. How well did we do this for you?
Brilliantly
It was good
Alright
Not great
Poor
Don’t know
Do you have a comment about the support you most recently received?
How did you feel after you last contacted us? Please tick.
Heard
Understood
Angry
Sad
Confused
Calmer
Safer
Less alone
Relieved
Hopeless
Misunderstood
Less anxious
More aware of what you need
More isolated
Tired
Relaxed
Happier
Is there anything else that you would like to say about how you felt?
If you used our website, how easy was it to find your way around?
The next three questions relate to people's experience of self-injury – if you would like to skip this please do so
Thinking about your self-injury, what is the main thing that you want support with?
Feeling accepted that this is how I cope
Help to understand what I do and why
Ideas and suggestions for other ways of coping
Help with wound care and scarring
A sense of not being the only person who self-injures
A place to share my confusing thoughts and feelings
A safe service where I won’t be told to stop my self-injury
Did we give this support?
Definitely
Mostly
Some
Not much
Not at all
Is there anything else you would like to tell us about your self-injury?
Please note that we don't reply to people through our feedback form – if you would like a reply then please use our email support service.
We now have a short section on equal opportunities – these questions are really important because they let us know which people we are managing to reach with our services and which ones we are not. Different people do have different needs so it is very helpful for us to have some information about the people who are in touch with us.
Your age
Race / ethnicity
Sexuality
Physical ability / disability
Are you a mental health service user
Yes
No
Don't want to say
Anything else that you would like to tell us about your identity?
If you want support in the future will you use our services again?
yes
no
maybe
don't know
We would like to be able to use comments on our publicity and for funding applications.
Can you tick which of the following applies to you please
I am happy for you to quote from anything that I have written and would like to be quoted under the name below
I am happy for you to quote from anything that I have written, but I want my quotes to be anonymous
I don’t want you to quote any of what I have written
Name to use for comments
Thank you very much for taking the time to do our feedback form. Filling out this form may bring up some feelings for you. You might like to take some time for yourself and do something you enjoy like having a warm bath, listening to some music, having something nice to eat, watching some comedy, going for a run or anything else that works for you.
What is two add 4?
*
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