Beneficiary Feedback Form | An hour for others

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Feedback form

Date of birth (optional)

What support did you recieve from An Hour For Others?

Please explain in as much detail how the support or activity helped you or a family member/s.

The support I received from An Hour For Others made a positive impact in my life.

1 - Strongly Disagree

2 - Disagree

3 - Undecided

4 - Agree

5 - Strongly Agree

The support of An Hour For Others helps my physical and/or mental health

1 - Strongly Disagree

2 - Disagree

3 - Undecided

4 - Agree

5 - Strongly Agree

I was really satisfied with the support from An Hour For Others

1 - Strongly Disagree

2 - Disagree

3 - Undecided

4 - Agree

5 - Strongly Agree

I feel the on going support of An Hour For Others will help me/my family in the future

1 - Strongly Disagree

2 - Disagree

3 - Undecided

4 - Agree

5 - Strongly Agree

Do you have any suggestions regarding An Hour For Others activities and services?

If you answered yes above please explain what you would like to suggest.

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An Hour for Others is registered in England and Wales under charity number 1180688 City Centre Office - 615b Cotton Exchange, Bixteth Street, Liverpool L3 9LQ Community Hub - 657-659 West Derby Rd, Liverpool L13 8AG (Near to Tuebrook roundabout) Tel - 0151 245 8282

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