Izzy's Promise survivors survey
This survey is part of an independent evaluation being carried out on behalf of Izzy's Promise. All respondents will be anonymous. Please answer as fully as you can, your responses will all go to improving the service provided by Izzy's Promise.
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1)
How old are you?
Under 16
16-25
26-35
36-45
46-55
56-65
Over 65
2)
Are you
Male
Female
Transgendered
3)
How did you find out about Izzy's Promise?
Phone
Email
In Person
Website
Internet
Letter
Other
4)
How would you rate the service you received from Izzy's Promise?
Excellent
Good
OK
Poor
Awful
5)
Please give an example of something you feel Izzy’s Promise did particularly well for you.
6)
Please give an example of something you feel Izzy's Promise did particularly badly for you.
7)
What issues has Izzy's Promise helped you with?
Suicidal feelings
Self-harm
Mental health issues
Multiple personalities
Safety issues
Sexual health
Practical help
Other
8)
How has Izzy’s Promise changed your feelings of self-esteem?
A lot worse
A bit worse
No change
A little better
A lot better
9)
How has Izzy’s Promise changed your feelings of safety?
A lot worse
A bit worse
No change
A little better
A lot better
10)
How has Izzy’s Promise changed your living situation?
A lot worse
A bit worse
No change
A little better
A lot better
11)
Is there anything that you think Izzy’s promise does particularly well?
12)
Is there anything that you think Izzy’s promise does particularly badly?
13)
What would you improve or change about Izzy’s Promise?
14)
Has Izzy's Promise helped you to access any other services?
Yes
No
15)
Which ones?
Housing
Social Services
Voluntary Support agencies
Other Voluntary Agencies
Health Services
Education
Other
