Community Learning and Development Youth Services Customer Satisfaction

Our customer satisfaction form for customers attending community learning and development youth services groups

1. Participants Name*
2. Participants Postcode*
3. Activity/Group Type*
4. Activity/Group Name*
5. Group Leader*
6. School
7. Date of activity/group
Please rate the following in relation to the above activity
1. Timeliness - the length of time it took to get what you needed
  
  Excellent
  
  Good
  
  Adequate
  
  Poor
  
  Very Poor
  
  Not Applicable
2. Service Delivery – was the service delivered what you needed
  
  Excellent
  
  Good
  
  Adequate
  
  Poor
  
  Very Poor
  
  Not Applicable
3. Information –the available and usefulness of information you needed
  
  Excellent
  
  Good
  
  Adequate
  
  Poor
  
  Very Poor
  
  Not Applicable
4. Staff Attitude – the friendliness and helpfulness of staff
  
  Excellent
  
  Good
  
  Adequate
  
  Poor
  
  Very Poor
  
  Not Applicable
5. Professionalism – the knowledge and ability of staff you dealt with
  
  Excellent
  
  Good
  
  Adequate
  
  Poor
  
  Very Poor
  
  Not Applicable
6. Quality of Customer Service - your overall experience of the service
  
  Excellent
  
  Good
  
  Adequate
  
  Poor
  
  Very Poor
  
  Not Applicable
7. Were you treated fairly?
  
  Yes
  
  No
8. Would you recommend our service to others?
  
  Yes
  
  No
Please rate the following in relation to the above activity
1. Are the staff ready to start the club on time?
  
  Excellent
  
  Good
  
  Adequate
  
  Poor
  
  Very Poor
  
  Not Applicable
2. Do you get to suggest activities for the club?
  
  Excellent
  
  Good
  
  Adequate
  
  Poor
  
  Very Poor
  
  Not Applicable
3. Is the information you get useful?
  
  Excellent
  
  Good
  
  Adequate
  
  Poor
  
  Very Poor
  
  Not Applicable
4. Are the staff friendly and helpful?
  
  Excellent
  
  Good
  
  Adequate
  
  Poor
  
  Very Poor
  
  Not Applicable
5. Do the staff know their job-what they are doing?
  
  Excellent
  
  Good
  
  Adequate
  
  Poor
  
  Very Poor
  
  Not Applicable
6. What do you think about the club you attend?
  
  Excellent
  
  Good
  
  Adequate
  
  Poor
  
  Very Poor
  
  Not Applicable
7. Were you treated fairly?
  
  Yes
  
  No
8. Would you recommend the club you attend to others?
  
  Yes
  
  No
Health and Wellbeing
1. Has this activity improved your general health and wellbeing
  
  Strongly Increased
  
  Increased
  
  Neither Increased Decreased
  
  Decreased
  
  Strongly Decreased
Employability
1. Has this activity improved the likelihood of you getting a job, if you are looking for one
  
  Strongly Increased
  
  Increased
  
  Neither Increased Decreased
  
  Decreased
  
  Strongly Decreased
1. Is there anything you wish to tell us about the service you received?
Privacy Notice
1. Community Learning & Development Youth Services Customer Satisfaction Forms
  Information held about you
  We collect the information on this form; Name, Post Code
  Who is processing my data?
  All personal information is held and processed by West Lothian Council in accordance with data protection law.
  How will we use information we hold about you?
  We will use the information provided to gauge customer satisfaction with CLD Youth Services
  Who we will share your information with?
  Information will be shared with CLD Youth Services staff.
  How long do we keep your records?
  Information will be kept for a period of 18 months
  
  Your Rights
  How you can see the information we hold?
  You have a right to request your information and, in some cases, ask for it to be changed or deleted. To request your records, you will need to put your request in writing and provide proof of identification to CLD Youth Services St David House South Bridge Street Bathgate EH48 1TT
  How to make changes to your information
  It is important the information we hold is correct, if you need to make any changes, please contact us at CLDYouthServices@westlothian.gov.uk
  Who to contact if you need to make a complaint
  If you wish to complain about the way your information is held or processed, you can do so by e-mailing EducationCustomerServices@WestLothian.gov.uk or phoning 01506 280000 and asking for Education Customer Services.
  You can also contact the Data Protection Officer, West Lothian Council, West Lothian Civic Centre, Howden South Road, Livingston, West Lothian, EH54 6FF or at DataProtectionOfficer@westlothian.gov.uk. More information about data protection and how it applies to you, including how to make a complaint, is available from the Information Commissioner's Office