Thank you for helping us to improve our services.This feedback form is anonymous and takes approximately 3 minutes to complete. Service attended at the Sexual Health Centre * Pregnancy test Rapid HIV test Counselling (Crisis pregnancy-related) Counselling (HIV-related) Counselling (Sexual Issues) General HIV Support LGBTI+ Support Staff member's name (if known) Age * <17 17 - 24 25 - 34 35 - 44 >44 Gender Male Female Transgender Intersex Non-binary If your gender was not named above, please note it below: Sexuality Lesbian Bisexual Transgender Gay Questioning Heterosexual If your sexuality was not named above, please note it below: How did you hear about our services? * Sexual Health Centre advert Internet HSE CPP counselling service Other counselling service GP Word of mouth At a workshop Other Please suggest how or where we could advertise our services Were you satisfied with the service you received? (Please answer 'yes'/'no' or write your own comment below) Were your information & support needs met by staff? (Please answer 'yes'/'no' or write your own comment below) Would you feel comfortable recommending and talking about this service with others? (Please answer 'yes'/'no'/'maybe' or write your own comment below) Can you suggest any areas for improvement? Please give your opinion on your experience at the Sexual Health Centre: Please tick what other services you would like to see at the Sexual Health Centre: Contraception Clinic STI Counselling Online Appointment Booking System Relationship Counselling Miscarriage Counselling IVF Counselling Other (Please comment below) Thank you very much for your time.
