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* 1. How are you feeling today? 

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* 2. How is your volunteering role going? 

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* 3. Is there something you would like to tell us? 

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* 4. Is there something we could improve on?

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* 5. Overall, do you enjoy being a Claire House Volunteer? 

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* 6. If you would like someone to contact you about your feedback, please leave your name and contact number below? 

If you leave this blank, your response will be anonymous.

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