Loading questionnaire please wait...
IQVIA Connection Desktop - Complete Questionnaire
Please complete the form below. Please use the text boxes provided to add any comments.


CYPS Crisis Intervention Service 2024
Service
Date

Thinking about your recent visit...
1Overall, how was your experience of our service?
Very goodGoodNeither good nor poorPoorVery poorDon’t know
2Please can you tell us why you gave this response?
3I am a Child/Young Person
YesNo, I'm a parent or carer
4Have you been involved in planning your care (including setting your own goals)?
YesNoI don't know
5Do you feel you have been involved in the development of your safety plan (also known as a Crisis & Contingency Plan)?
Yes, fully involvedYes, partially involvedI have one, but I wasn’t involved at allNo, I don’t have oneDon’t know/can’t remember
6I understood the information given to me about my support
Strongly agreeAgreeNeither agree nor disagreeDisagreeStrongly disagree
7How happy would you be to use this service again if needed?
Very happyHappyNeither happy or unhappyUnhappyVery unhappy
8The support I received met my needs?
Strongly agreeAgreeNeither agree nor disagreeDisagreeStrongly disagree
9I felt listened to by the Service?
Strongly agreeAgreeNeither agree nor disagreeDisagreeStrongly disagree
10On a scale of 0-10 how would you rate your experience of the service overall?
0 - Very poor12345678910 - Very good