survey questions for Meals on Wheels service users

Please note that individual answers will be treated as confidential. Their purpose is to compile a picture of the service and identify how it might be improved, and the responses will not be associated with the individuals concerned.

For example, if there are three women in the house aged 77, 79 and 86, and two men aged 81 and 92, you could list these concisely as: F77, F79, F86, M81, M92
More than one of these reasons may apply. Please select as many boxes as you wish.
Please use this space to write anything you think might be helpful in improving the quality of the meals and the delivery service (even if you are already satisfied with it, there is always room to improve).
Please choose as many as you like out of the list above.


Please choose one or two from the list above.

Please note: This question is not related directly to the Meals on Wheels provision, but it may help to make clearer what might be done to make a long-term sustainable and cost-effective service. Any information you can provide here will be of great help to us. You can provide as much additional information as you wish in the box below ('other').

They would of course contact you first and agree a convenient time.