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Enquiry Service - Evaluation Form

If you have used our Enquiry Service (either by ringing our freephone Enquiry Line or using the online Enquiry Form), we would like to know how helpful it was for you. Please spare a few minutes to complete the following form to help us ensure we provide a quality service.

How did you hear about ICIS?

Did you make your enquiry as an individual person or a service provider?
Individual person     Statutory health provider     Other statutory service provider     Voluntary service provider     Independent/commercial service provider

Please tick the option nearest to your age.
0-19     20-40     41-64     Over 65

Please indicate your ethnic group
British White     White other     Dual ethnic origin     Black African     Black other     Pakistani     Indian     Bangladeshi     Chinese     Black Caribbean     Other

Are you a reqular user of the ICIS Enquiry Service?
Yes     No

If you are a regular user, is this:
3 or more times a month     Approx once a month     Approx once a quarter

How well did the information match your specific needs at the time of the enquiry?
Very well     Well     OK     Poorly     Very poorly

If you answered 'poorly' or 'very poorly' please provide details, and say what information might have been more helpful.

If you have used the service before can you say how the information was of help to you?

What is your preferred method of communication?
Telephone     Fax     Post     Email     Textphone     By hand     Other (see below)

If you have ticked 'other', please give details here.

The ICIS freephone line is open 10am-12.30 and 1.30-4pm, with an answerphone at other times. Is this:
About right     Too little time (please say why below)

If you have answered 'too little time' please say why here.

If you have any other comments to make about the ICIS Enquiry service, please add them here.

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