Berkshire West Breathing Space Feedback

Overall, how satisfied are you with the Berkshire West Breathing Space service?

How did you access the service?

In person at the Breathing Space hub

Digitally

On the phone

If you accessed the service virtually, please tell us about your experience

I could see the worker / volunteer clearly

Yes

No

Unsure

Not Applicable

I could hear the worker / volunteer clearly

Yes

No

Unsure

Not Applicable

It was easy to set up the video call

Yes

No

Unsure

Not Applicable

I felt that the worker / volunteer could understand me

Yes

No

Unsure

Not Applicable

What has Breathing Space helped you with?

Feeling more able to cope with my immediate crisis

Stopping my crisis from getting worse

Finding other services I can go to for support / advice

Recognising my strengths and abilities

Feeling more able to cope in the future

What have you left Breathing Space with?

A safety plan

An updated safety plan

Information about other sources of support / advice I can access

Coping strategies / tools I can use now and/or in the future

Other - please specifyOther - please specify

How involved did you feel in your support?

I could choose which coping tools / strategies would work for me

I felt comfortable to talk openly about how I was feeling

How would you rate the following elements of the service?

Would you recommend this service to family or friends?

Yes

No

What could we do to improve the service?

Please tell us about any other comments you have about your experience of the service

Please let us know a preferred time, when you would like to be contacted.

Would you like us to contact you to follow up on your visit to the service within the next few days? *

Yes

No

Would you like to be added to our mailing list to receive newsletters about the service, including opportunities for you to get involved in developing the service and/or volunteering with us? If yes, please provide your email address below

How would you prefer to be contacted? (Please provide your phone number and/or email depending on how you'd like us to contact you)

The information gathered in this form will only be used to to improve the service in the ways stated and to keep you informed of Berkshire West Breathing Space activities. Please tick the box below to confirm you give consent for us to use the information in that way: * *

I agree

If you accessed the service virtually, please tell us about your experience

What has Breathing Space helped you with?

How involved did you feel in your support?

How would you rate the following elements of the service?

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