Skip to content
Home
Bereavement
Autism Spectrum Quotient
Borderline Personality Disorder Scale
Cambridge University Behaviour and Personality Questionnaire For Children
Clinical Assessment
Clinical Assessment – Outcome
Discharge – Summary of client work
Discharge Form
GAD-7 Anxiety Updated 0
Impact Of Events Scale
Patient Health Questionnaire
Risk Management Plan – Bereavement
Safety Plan
Crisis
The Adolescent Autism Spectrum Quotient
The Adolescent Autism Spectrum Quotient (Quick)
The Adult Autism Spectrum Quotient
The Adult Autism Spectrum Quotient (Quick)
BECK DEPRESSION INVENTORY
GAD-7
PHQ-9
Safety Plan Crisis
UPPS-P
Sanctuary
Post Contact Survey
General
Diary Page
Notes Sheet
Service Evaluation
Testimony Sheet (TP)
Menu
Home
Bereavement
Autism Spectrum Quotient
Borderline Personality Disorder Scale
Cambridge University Behaviour and Personality Questionnaire For Children
Clinical Assessment
Clinical Assessment – Outcome
Discharge – Summary of client work
Discharge Form
GAD-7 Anxiety Updated 0
Impact Of Events Scale
Patient Health Questionnaire
Risk Management Plan – Bereavement
Safety Plan
Crisis
The Adolescent Autism Spectrum Quotient
The Adolescent Autism Spectrum Quotient (Quick)
The Adult Autism Spectrum Quotient
The Adult Autism Spectrum Quotient (Quick)
BECK DEPRESSION INVENTORY
GAD-7
PHQ-9
Safety Plan Crisis
UPPS-P
Sanctuary
Post Contact Survey
General
Diary Page
Notes Sheet
Service Evaluation
Testimony Sheet (TP)
Post Contact Survey
Post Contact Survey
Which of the following sanctuaries have you attended?
Mansfield
Beeston
Worksop
Newark
East Leake
Sherwood
City- 73 Hounds Gate
City – King Edward Court
Thinking about your contact with the sanctuary today please complete the following short survey.
I feel less distressed.
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
I feel safer.
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
I am aware of new coping strategies.
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
I feel listened to.
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
I am more aware of services that can help me.
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
I feel more supported.
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
I feel more hopeful about the future.
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
I have a clear plan for dealing with a future crisis.
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
Finally, to help us provide the best possible service would you be willing for us to contact you at a later date?
YES
NO
Send
