Skip to main content
Skip to navigation
Show accessibility tools
Urgent help
Search bar
Staff links
Social links
Mobile navigation
Staffzone
Close search
Urgent help
Accessibility and Language
Options
A
A
Home
Our services
Our services
Perinatal Services
Perinatal Services
Perinatal Mental Health Practitioners
Perinatal Community Nurses
Peer Support Workers
Psychologists and Assistant Psychologists
Children’s Speech and Language Therapy Service (Dudley)
Library Services
Community Inclusion Team
Perinatal Services
Primary Care Mental Health Services
Community Mental Health Services
Children and Young People's Keyworker Service
Child and Adolescent Mental Health Services - CAMHS
Child and Adolescent Mental Health Services - CAMHS
Wsya app text-only flyer
Early Intervention in Psychosis Service
Early Intervention in Psychosis Service
EIP - Who to meet and what to expect
EIP - Physical Health and Wellbeing
EIP - At Risk Mental State Service
EIP- Carers
EIP - Mythbusting
WorkWell
About us
About us
Our Board of Directors
Our Strategies
Our Strategies
Digital strategy
Our Assembly of Governors
Our partners
Publications & Reports
Visions & Values
Coronavirus: public information
Learning Disabilities Resource Hub
Interpreting & Translation Services
Anti-racist declaration
Membership
New hospital build projects
New hospital build projects
Edward Street Hospital refurbishment
Dorothy Pattison refurbishment
Community mental health transformation
Beyond the Badge campaign
Annual General Meeting
Lead Provider
(Un)spoken word
Trust newsletter
Research & Innovation
Veteran Aware
Cognitive Stimulation Therapy (CST) Project
All Age Autism Framework
Learning Disabilities Community Services Review
West Midlands Local Resilience Forum
The Patient and Carer Race Equality Framework
The Patient and Carer Race Equality Framework
Involving communities
The Poplars moves
Patient Safety
You said, we did
Help & Advice
Help & Advice
Accessibility
Freedom of Information
Freedom of Information
Publication Scheme
Information about the CQC
Privacy Statement
Taking care of your wellbeing
Patient information
Patient information
Mental Capacity Act and Deprivation of Liberty Safeguards
Get involved
Safeguarding children and vulnerable adults
Managing challenging behaviour MAPA approach
Advance decisions and statements
Care Programme Approach
Patient information - Freedom of Information
How we use your information
Choose Well Guide for your mental wellbeing
Mental Health First Aid (MHFA®) & Suicide First Aid (SFA) Training
Yellow Card Reporting Scheme for Adverse Drug Reactions
Safety planning
Sustaining your recovery
Five ways to wellbeing
Help for anxiety and panic
Help for depression
Help for stress
Living Well Guides
Need someone to talk to?
Support after suicide
Right Care, Right Person
I am me
Learning Disabilities and Autism Commissioning - Dynamic Support Register
Carers, family and friends
Patient Choice
Professionals
Working for us
Working for us
View current vacancies
About the Trust
Your career with us
Living in Black Country
Work benefits
The recruitment process
Beyond the Badge
Work Experience
Work Experience
Apply to join us on work experience
Volunteering at Black Country Healthcare
Psychology at Black Country Healthcare
Contact us
Contact us
Help in a crisis
Tell Us How We Did
Tell Us How We Did
Tell Us How We Did - Children or Young People Version
Tell Us How We Did - Easy Read Version
Tell Us How We Did - BSL
Tell Us How We Did - BSL CYPF
Tell Us How We Did - Child Friendly Form
Visiting our Trust
Share your feedback
Share your feedback
You Said, We Did
Our Charity
Our Charity
How you can support us
Get in touch with us
Shine a light on dementia appeal
You are a fundraising hero
Spring Into Action Appeal
Social links
Facebook
Instagram
LinkedIn
Twitter
Youtube
Close search
What information are you looking for?
Search this website
Search our website
Close search
Tell Us How We Did - Children or Young People Version
Please tick if you are completing this form on behalf of a patient
I am completing this form on behalf of a patient
Team name
Required
Location
Required
Thinking about the statements below, how would you rate your experience of the service you received?
Please select your response to the questions below.
I was listened to
Required
** None
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
Don't Know
My appointment was helpful
Required
** None
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
Don't Know
I understood what we talked about at my appointment
Required
** None
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
Don't Know
I felt safe and comfortable
Required
** None
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
Don't Know
Overall, how was your experience of our service?
Required
** None
Very Good
Good
Neutral
Poor
Very Poor
Don't Know
What was good about the service?
Required
What would you like us to improve?
Required
I agree to the
privacy policy
.
Submit