If you have used our Information and Support Service, we would value your feedback. We want to be sure that the information we provide is useful. The only way we can do this is by asking you these questions. We would be most grateful if you could spare a few moments to complete this form, and send it back to us by clicking on the "Submit" button at the bottom. Your comments will help us to provide the best quality service for people who stammer. Thank you!
Note: please do not hit the 'enter' key; use 'tab' key or the mouse to move between fields.
HELPLINE
1) Did you ring the BSA Helpline number 0845 603 2001? yes no
2) How many times did you have to try before you got through? Please select box:
once twice three times more than three times
3) Did you email us? yes no
4) Whatever method you used to reach us did you find the response you received
helpful? Please select one of the following:
poor average good excellent
If the response was poor please say why:
INFORMATION
5) Did you receive an information pack? If so, please select which one applies to you:
for a child under 5yrs who stammers
for child of school age who stammers
for a teenager who stammers
for an adult who stammers
other (please state):
6) Did you find the information you received helpful? Please select one of the following:
poor average good excellent
If you found the information poor please say why:
7) Please select which one applies to you:
I am a parent of a child who stammers (age of child )
I am a child who stammers (age )
I am a teenager who stammers (age )
I am an adult who stammers
I am a teacher
I am a speech and language therapist
other (please state)
8) How would you describe your ethnic origin? Please tick one of the following:
Black-African
Black-Caribbean
Bangladeshi
Black-Other
White
Pakistani
Indian
Chinese
Other (please state):
9) We are currently reviewing our BSA Helpline opening hours. Please select which times would be most convenient for you?
Mon - Fri:
9.30 - 1pm
2 - 5pm
6 - 8pm
8 - 10pm
Weekends:
Saturdays am pm
Sundays am pm
10) Please add any other comments on the BSA Information and Support Service which you think may help us to provide a better quality service to people who stammer.
the above information, or
THANK YOU FOR COMPLETING THIS FORM
BSA, 15 Old Ford Road, London E2 9PJ
Information for
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