Client Reviews

Client Review Form

In a EMERGENCY please contact your own GP. The Cumbria Health On Call team (CHOC) are also available out of hours on 111. The Samaritans are available 24 hours a day on 116 123.

SAFA is GDPR compliant. Once the below form is submitted to us, the forms data is encrypted and automatically password protected. Only a team member from SAFA can access the data provided.

    Please input using a keypad or keyboard.

    Below are some statements about feelings and thoughts.

    Please select from the dropdown that best describes your experience of each over the last 2 weeks.

    I’ve been feeling optimistic about the future:
    I’ve been feeling useful:
    I’ve been feeling relaxed:
    I’ve been feeling interested in other people:
    I’ve had energy to spare:
    I’ve been dealing with problems well:
    I’ve been thinking clearly:
    I’ve been feeling good about myself:
    I’ve been feeling close to other people:
    I’ve been feeling confident:
    I’ve been able to make up my own mind about things:
    I’ve been feeling loved:
    I’ve been interested in new things:
    I’ve been feeling cheerful:
    Please prove you are human by selecting the Cup.

    * by submitting this form you are consenting to providing the data outlined above.

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