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Phone our Support Line
0330 0583 464
MAKE A REFERRAL
(opens in a new tab)
Navigation Menu
Navigation Menu
HOME
ABOUT US
What we do
What is Social Prescribing?
Contact Us
Meet the team
Privacy Statement
OUR SUPPORT
Macmillan Projects
Cancer Champions
Cancer Social Prescribing
Access the community
Phone Line Support
Are we the right service for you?
Drop-Ins
Transport
Transport Booking Form
Befriending
I want to refer someone for Befriending support
I want to request a Befriender for myself
MAKE A REFERRAL
GET INVOLVED
Donate
Volunteer
Transport
Befriending
General Volunteering
Cancer Champions
Job Vacancies
FIND THINGS IN LEWISHAM
Support in Lewisham (Factsheets)
Our Key Partners
Social Prescribing Network
NEWS
Quarterly Newsletters
News articles
FEEDBACK
Test Form
Hello this is a survey
Please enable JavaScript in your browser to complete this form.
Who are you?
*
--- Select Choice ---
Please choose
A client using the transport service
A family member or next of kin of a client using the transport service
A volunteer driver
Your name
*
First
Last
Client's name
*
First
Last
How long have you been using the service or volunteering with the service?
1-6 months
7-12 months
12+ months
I can see the positive difference that my volunteering makes to the people I support
Strongly Agree
Agree
Neither Agree Not Disagree
Disagree
Strongly Disagree
Since becoming a volunteer, I feel a stronger connection to my community
Strongly Agree
Agree
Neither Agree Not Disagree
Disagree
Strongly Disagree
Since becoming a volunteer, my confidence has increased
Strongly Agree
Agree
Neither Agree Not Disagree
Disagree
Strongly Disagree
Since becoming a volunteer, I have improved on some of my skills
Strongly Agree
Agree
Neither Agree Not Disagree
Disagree
Strongly Disagree
These skills I have learnt are transferrable and have helped me with my employment
Strongly Agree
Agree
Neither Agree Not Disagree
Disagree
Strongly Disagree
skills you else
Since using the transport service, my general wellbeing, or the wellbeing of the person I support, has improved
Strongly Agree
Agree
Neither Agree Not Disagree
Disagree
Strongly Disagree
Since using the transport service, I or the person I support, feels more connected with other people
Strongly Agree
Agree
Neither Agree Not Disagree
Disagree
Strongly Disagree
Without the transport service, how often would you (or the person you support) be able to go out independently?
Twice a week or more
Once a week
Less than once a week
Would not be able to go out independently at all
Other
In the past year, please estimate how many times you (or the person you support) has been submitted to hospital or has had to visit A&E.
More than 4 times
3-4 times
Twice
Once
I have not been admitted to hospital or visited A&E this past year
Do you have any comments on how using the Community Connections Transport service has impacted you so far?
Do you have any comments on how volunteering with the Community Connections Transport service has impacted you so far? Would you recommend volunteering with us?
Do you have any ideas about how we can improve the Community Connections Transport service, or the volunteer experience?
Do you have any ideas about how we can improve the Community Connections Transport service?
Is there anything else you would like to tell us?
Submit
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