Feedback questionnaire

Breathing Space are able to offer you advice & guidance and signpost you to services.

One of our providers will offer you support and/or accommodation. Please answer the questions that are relevant to you; you can leave blank anything that you don't feel able to answer.

Personal Details

Please enter your name

Please enter your phone number

Please enter your town/city

Advice/Signposting

Breathing Space are able to offer you advice & guidance and signpost you to services.

One of our providers will offer you support and/or accommodation.

Please answer the questions that are relevant to you; you can leave blank anything that you don't feel able to answer.

How helpful was the information on our website and/or social media account?

Poor

Quite Poor

Average

Good

Fantastic

How easy was it to contact Breathing Space?

Poor

Quite Poor

Average

Good

Fantastic

Were you given the opportunity to chat about your situation?

Poor

Quite Poor

Average

Good

Fantastic

How well did Breathing Space listen to you?

Poor

Quite Poor

Average

Good

Fantastic

How well did Breathing Space explain the options available to you?

Poor

Quite Poor

Average

Good

Fantastic

How well did Breathing Space do at directing you to services that can offer support?

Poor

Quite Poor

Average

Good

Fantastic

Support

Only leave feedback on the questions below if you received support from one of our providers.

How well did you feel that you were supported by provider(s) workers at the times you needed it most?

Poor

Quite Poor

Average

Good

Fantastic

How well did provider(s) workers respect your privacy? Eg: did they ask to enter your room, did they give you space when you needed it?

Poor

Quite Poor

Average

Good

Fantastic

How well did the provider(s) workers keep you safe if/when you needed it?

Poor

Quite Poor

Average

Good

Fantastic

How well did the provider(s) workers communicate with you? Eg: did they keep you informed about meetings, things going on?

Poor

Quite Poor

Average

Good

Fantastic

How well did the provider(s) workers support you when you needed to make decisions about your future?

Poor

Quite Poor

Average

Good

Fantastic

How well do you rate the support you received to develop your daily living skills? Eg: cooking/budgeting your money/cleaning

Poor

Quite Poor

Average

Good

Fantastic

How do you rate the opportunities given to you to do new and interesting things? Eg: training courses/be involved with things within your community or the service

Poor

Quite Poor

Average

Good

Fantastic

How well did the provider(s) workers listen to your thoughts, feelings & needs?

Poor

Quite Poor

Average

Good

Fantastic

How easy was it to get in touch? Eg: by text/direct message/phone call

Poor

Quite Poor

Average

Good

Fantastic

Overall, how satisfied were you with the support you received?

Poor

Quite Poor

Average

Good

Fantastic

Would you like to leave a comment about the accommodation you stayed in?

Accommodation

Only leave feedback on the questions below if you have stayed in accommodation with one of our providers.

How safe did you feel in the flat/trainer house/bed space that you stayed in?

Poor

Quite Poor

Average

Good

Fantastic

How clean was the accommodation?

Poor

Quite Poor

Average

Good

Fantastic

How good were the facilities? Eg: bath/shower/laundry/cooking equipment/shared spaces

Poor

Quite Poor

Average

Good

Fantastic

How well did the staff explain the project when you moved in? Eg: how to access support, how to use the washing machine, who to call if you had an emergency

Poor

Quite Poor

Average

Good

Fantastic

Overall, how would you rate the accommodation you stayed in?

Poor

Quite Poor

Average

Good

Fantastic

Would you like to leave a comment about the accommodation you stayed in?

Contact Details

Can we contact you?

How would you prefer to be contacted?

Text (SMS) Phone Email

Contact Details

Don't worry, we won't contact you unless you fill in these details. If you do want us to contact you it will be during working hours. We will use these results to improve our services and we'll share the information that you provide with our partners and we will use the rating that you give us and publish this along with others, on our website.

How we help

We've helped countless young people who were homeless or at risk of homelessness over the years.

Click here to learn more about their stories and about how Breathing Space helped them.

Real Stories

Help in your area

If you, or someone you know is at risk of homelessness you can talk to one of our friendly team in complete confidence.

About Breathing Space

Breathing Space Lancashire is here to help young people aged 14-25 who are at risk of homelessness. The project is here to provide the best advice, guidance and signposting to young people, their friends and families so that together we can keep young people safe.

Learn More Get in Touch

Feedback questionnaire

Personal Details

Advice/Signposting

Support

Accommodation

Contact Details

How we help

Help in your area

About Breathing Space

Talk to us so we can help...

Help in your area

Email Us

Call Us

Pendle & Burnley

Rossendale

Hyndburn

Blackburn with Darwen

Text Us

Talk to us
so we can help...