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Section 1 of 2
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Housing and Council Tax Benefit Online Survey Form
Please fill in this online form to help us improve our service to you
Contacting Benefits
1) How many times have you contacted Benefits over the past year?
Please Select ...
Never
1
2
3
4
5
6-10
11-20
More than 20
2) How do you normally contact Benefits?
Please Select ...
In Person
Telephone
Letter
Email
Online Form
3) Why did you contact Benefits? (Please tick all that apply):
Reporting a change in circumstances
Regarding current benefit payment
Making a new claim
Chasing up a claim
Making a Complaint
Other
4) If 'Other' Please give details:
Using Benefits Forms
5) Did we write back to you and/or send you a form?
No (please go to question 11)
Yes
6) What was the form about? Please give brief details:
7) Was the form easy to fill in?
Please Select ...
Very easy
Fairly easy
Not very easy
8) Did the form/letter tell you who to contact about your enquiry?
No
Yes
9) How might we have made things better for you when using the service?
10) How satisfied were you, overall, with the way Benefits dealt with your enquiry? Please enter your rating on a scale of 1 - 10:
Please Select ...
10 (Delighted)
9
8
7
6
5
4
3
2
1 (Very Dissatisfied)
11) Would you like us to contact you regarding anything in the form?
Yes
No
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