UBU Healthwatch Kirklees

How likely are you to recommend this organisation to friends and family if they needed similar care or treatment?

Extremely likely

Likely

Neither likely nor unlikely

Unlikely

Extremely unlikely

Don't know

How do you rate your overall experience of this service?*

Summary of your experience* (max 45 characters)

Tell us more about your experience*

Where do you live? (town/city)

Your ratings (select if applicable)

Cleanliness

Staff Attitude

Waiting Time

Quality of care

Quality of food

Do you want to know more about how to make an official complaint?*

No Yes

Would you like Healthwatch to contact you regarding your review?*

No Yes

Please leave your telephone number below and we will call you back.

Telephone

About you

Name

Leave feedback anonymously?

Email* (Your email will be kept private and you will not be sent any marketing material. If you do not wish to provide an email address, please call us on 01924 450 379 and we will take your review over the phone.)

I accept the Terms and conditions

I consent to being contacted regarding my feedback by Healthwatch*

Yes No

I confirm I am over the age of 16*

Yes No

I have parental consent*

Yes No

Subscribe to the newsletter?

Only your overall rating, comment and name (if disclosed) will be visible online.

UBU

UBU

Contact

Location

Leave your Feedback

Your ratings (select if applicable)

About you

UBU

UBU

Contact

Location

Leave your Feedback

Your ratings (select if applicable)

About you

Subscribe to our mailing list

Keep up to date with our latest news, campaigns and helpful information.