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Host family feedback form

Please provide as much information as possible as this will help us to match you with the most suitable host families and to make your homestay experience as pleasant as possible. Please note that any question with * next to it is a mandatory question. Please put 'NA' for any mandatory questions that do not apply to you.

Please have all information to hand as it is not possible to save this form


About you

Host's Name*

Email address*

PERMANENT HOME ADDRESS –

House Number and Street Name*

City*

Postal/Zip code*

Country*

Name of student hosted

Date of Stay From*

Date of Stay To*


Your feedback

Overall were you satisfied with the services we provide you?*
 Yes No

If No, why not*

Would you recommend us to friends or colleagues (we offer a £50 incentive for any successful referrals. Please enquire for more details)*
 Yes No

If No, why not*


On a scale of 1 to 5, 1 being the worst and 5 the best, please rate the following areas:

The process of getting to know you and finding the most suitable student*
 1 2 3 4 5

Please provide more details (optional)

Our responsiveness*
 1 2 3 4 5

Please provide more details (optional)

Our friendliness*
 1 2 3 4 5

Please provide more details (optional)

Your overall experience of the service we provided*
 1 2 3 4 5

Please provide more details (optional)


***Thank you - Your application is complete***


Data Protection Statement
The information which you give when completing your application form will be used in accordance with the Data Protection Act 1998 and for the following purposes: to enable the organisation to create an electronic and paper record of your application; to enable the application to be processed; to enable the organisation to compile statistics, or to assist other organisations to do so, provided that no statistical information that would identify you as an individual will be published. The information will be kept securely, and will be kept no longer than necessary and at all times in accordance with our Data Protection Policy, which can be provided upon request.

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