Beneficiary Service Feedback
Dignity-first feedback from the people using your services.
4 questions · 1 page · about 2 minutes to answer · fully editable after you start
People who rely on a service often hesitate to criticise it. This feedback form is built for that reality: short, anonymous, and framed around making the service better rather than grading gratitude. It measures access, dignity of treatment, and whether the help actually helped – the three things service quality means to a beneficiary.
Offer paper and digital versions side by side and read the write-ins first: the scale scores show where to look, the words show what is happening.
Template preview
This is a picture of every question as a respondent would see it, so nothing on it can be clicked or typed into. Use this template to get your own editable copy.
Opens in the Light theme, or in your own default theme if you have set one — change it anytime to any of the 4 built-in looks, or build your own on a paid plan.
Page 1
Help us improve
This survey asks about your recent experience with our service. Your views help us make sure the service is helpful and respectful. It takes about 2 minutes.
Q1.Thinking of your recent experience with us...*
| No | Partly | Yes | |
|---|---|---|---|
| Getting access was straightforward | |||
| I was treated with respect | |||
| The help met my actual need | |||
| I knew what would happen next |
Q2.Overall, how helpful was the service?*
Q3.What was hard about using the service? (Anonymous - be honest.)
Q4.What should we do more of?
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