Central Locality Integrated Care Service (CLICS) Patient Questionnaire Combined Pathway

Please provide the answers that best describe your experience of the service you have received from the CLICS team.

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Following the support provided via CLICS, my situation has improved.(Required)
Please select one of the following options:
I am satisfied with the support provided(Required)
Please select one of the following options:
I would be likely to recommend the service to friends and family if they need similar services(Required)
Please select one of the following options:
I know about services, activities and support I can access that are appropriate to me (this could be cultural, religious, shared values or interests).(Required)
Please select one of the following options:
I feel connected to people I can ask for help and support.(Required)
Please select one of the following options:
I felt involved in the setting of my goals and/or the development of my care plan.(Required)
Please select one of the following options:
I felt involved in the setting of my goals and/or the development of my care plan.(Required)
Please select one of the following options:
(If you wish for any action to be taken or feedback to be forwarded regarding the service you have received, please include both your name and your GP practice and/or Community Connector’s name at the top of this form).