Your views
On-line form
Your views: Tell us what you think Tell us your story What you've told us
Counselling at Off The Record.
Confidentiality Our services are strictly 'Off The Record'.
to other useful info and services for young people
Buying on-line
Web searching
We value your opinion - please help us improve our service by completing the following questionnaire...
Please tell us about you (non-identifiable)..... Your age? under 11 11 - 12 13 - 16 17 - 19 20 - 25 over 25 Your gender? Male Female The first part of your post code PO1 PO2 PO3 PO4 PO5 PO6 PO7 PO8 PO9 PO10 PO11 PO13 PO13 PO14 PO15 PO16 PO17 PO18 PO19 PO20 PO21 SO30 SO31 SO32 GU31 Other Your ethnic origin White Black Mixed Asian Chinese Other Why are you accessing our web site? I am looking for information, help or support I am a parent or guardian I work with young people Other Where did you hear about Off The Record? Connexions E's up Sex Sense Friend/Parent GP/Hospital/Health Worker Social Worker/Probation Officer Teacher/Tutor/Mentor/Youth Worker Housing Agency/Hostel School/College Leaflet/flyer Newspaper Poster/sticker WWW search Other How do you rate our web site? No comment Brilliant Good OK Poor Don't know Have you used our services? How did we do? Drop-in................ Not Used Brilliant Good OK Poor Don't know E-mail.................. Not Used Brilliant Good OK Poor Don't know Information......... Not Used Brilliant Good OK Poor Don't know Counselling......... Not Used Brilliant Good OK Poor Don't know Parent Support... Not Used Brilliant Good OK Poor Don't know Referral............... Not Used Brilliant Good OK Poor Don't know Telephone........... Not Used Brilliant Good OK Poor Don't know Web-site............. Not Used Brilliant Good OK Poor Don't know Any comments? Your name and e-mail address (optional) Name E-mail
Your age? under 11 11 - 12 13 - 16 17 - 19 20 - 25 over 25 Your gender? Male Female The first part of your post code PO1 PO2 PO3 PO4 PO5 PO6 PO7 PO8 PO9 PO10 PO11 PO13 PO13 PO14 PO15 PO16 PO17 PO18 PO19 PO20 PO21 SO30 SO31 SO32 GU31 Other Your ethnic origin White Black Mixed Asian Chinese Other Why are you accessing our web site? I am looking for information, help or support I am a parent or guardian I work with young people Other Where did you hear about Off The Record? Connexions E's up Sex Sense Friend/Parent GP/Hospital/Health Worker Social Worker/Probation Officer Teacher/Tutor/Mentor/Youth Worker Housing Agency/Hostel School/College Leaflet/flyer Newspaper Poster/sticker WWW search Other
No comment Brilliant Good OK Poor Don't know
Drop-in................ Not Used Brilliant Good OK Poor Don't know
E-mail.................. Not Used Brilliant Good OK Poor Don't know
Information......... Not Used Brilliant Good OK Poor Don't know
Counselling......... Not Used Brilliant Good OK Poor Don't know
Parent Support... Not Used Brilliant Good OK Poor Don't know
Referral............... Not Used Brilliant Good OK Poor Don't know
Telephone........... Not Used Brilliant Good OK Poor Don't know
Web-site............. Not Used Brilliant Good OK Poor Don't know
Name E-mail