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Respite Break Feedback Form
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Your Name
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First
Last
Child's Name
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First
Last
Arrival Date
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Holiday Home
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Caravan at Shorefield Country Park
Lodge at Shorefield Country Park
Lennox Retreat at Broad Oak Farm
How many adults were in your party?
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How many children (under 18) were in your party?
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Please rate the following aspects of your experience:
Booking process
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Very Satisfied
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Neutral
Unsatisfied
Very Unsatisfied
Comments
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Information given prior to your experience
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Very Satisfied
Satisfied
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Very Unsatisfied
Comments
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Accomodation
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Comments
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Information given on arrival
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Comments
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Location
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Comments
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The site
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Very Satisfied
Satisfied
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Very Unsatisfied
Comment
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Did you visit somewhere you've never been before?
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Yes
No
Did you try any new activities?
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Yes
No
What was the best part of your holiday?
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Is there anything we could have done to improve your holiday?
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Please tell us which of the following statements you agree with about your Lennox respite break.
We had lots of fun
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*Please choose*
Agree
Disagree
We spent more time together as a family than usual
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*Please choose*
Agree
Disagree
Our time together was better quality than usual
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*Please choose*
Agree
Disagree
We made memories that will last a lifetime
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*Please choose*
Agree
Disagree
My child(ren) learned a new skill
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*Please choose*
Agree
Disagree
We wouldn't have been able to afford a holiday without Lennox
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*Please choose*
Agree
Disagree
Please tell us which of the following statements you agree with after your respite break.
My/our stress levels are reduced
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*Please choose*
Agree
Disagree
Our family relationships are improved
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*Please choose*
Agree
Disagree
I/we have a more optimistic outlook for the future
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*Please choose*
Agree
Disagree
My self confidence has improved
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*Please choose*
Agree
Disagree
My child(ren)'s self confidence has improved
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*Please choose*
Agree
Disagree
I/we feel better able to cope with the challenges ahead
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*Please choose*
Agree
Disagree
Do you feel that your respite break has made a positive overall difference to your family's life?
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*Please choose*
Yes
No
Please write a review about your holiday that we can share on our website and social media
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If you would like to send us photos or videos to go with your story, please email them to us at respitebreaks@lennoxccf.org.uk, or upload them here.
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Max file size: 20MB
Upload File
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Max file size: 20MB
Upload File
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Max file size: 20MB
We may use the information you have given us to improve our respite breaks and for publicity. If you would prefer that your feedback remains anonymous, please let us know.
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