Welfare Benefits Support Service Feedback What is your experience of referring to/ accessing Disability Solutions West Midlands for Welfare Benefits Support? (5 being excellent and 1 being poor) Required 1 2 3 4 5 What works well from your perspective? Required Are there any examples of successful outcomes? Is there anyone that you have supported who you think would like to give direct feedback? Required What does not work well from your perspective? Required Do you have any suggestions on how we can enhance future service models to better meet your needs and the needs of the individual? Are there any additional services or features you would like us to offer? Required Do you refer elsewhere for similar support? Why? Required Any final thoughts or feedback? Required Would you be happy for us to contact you directly if we need to follow up on your feedback? Required Yes No Full name Required Organisation name Required Email address Required Telephone number Required