Feedback Form "*" indicates required fields Please select which area you would like to leave feedback for below.*Please selectGeneralFYF ClubsA recent shop purchaseI'm a Trooper and would like to update my registered detailsPlease update all relevant fields below.Name* First Last Name commonly known as First Contact Tel.Emergency Contact Name, Tel & Relationship.Address Address Line 1 Address Line 2 City County Postcode Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Which gender do you identify as?MaleFemaleOtherPrefer not to sayWhich gender do you identify by? Date of BirthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email Address (please double check you've entered this correctly)* How did you hear about FYF?Please selectHealth ProfessionalFriends or FamilyInternet SearchMedia / PressOtherIf you selected other above, please tell us more here.If you selected other above, please tell us more here.What is your local authority area? Which hospital carried out your amputation? What year was your amputation? GP Name. Address & Tel.Do you have any form of professional support? E.g. a support worker, social worker, psychiatric or mental health worker etc....Please selectYesNoWould you like to tell us more about the professional support you receive?Reason for AmputationPlease selectDiabetesCancerCongenitalAccidentSepsisVascularMeningitisOtherWould you like to tell us more about the reason for your amputation?What is the level of your amputation (please tick all relevant boxes) Right Arm Right Arm Above Elbow Right Arm Below Elbow Left Arm Left Arm Above Elbow Left Arm Below Elbow Right Leg Right Leg Above Knee Right Leg Below Knee Left Leg Left Leg Above Knee Left Leg Below Knee Any Additional Limb InformationDo you use any of the following? (please tick all relevant boxes) Prosthetic(s) Wheelchair Crutches / Stick(s) None Have you joined our No LIMBits Facebook Group? Yes No Not yet Any other information.Photo Permission - From time to time we'll take photos & videos during our Clubs. Please tick to show you give us permission to use your photograph / video for promotional purposes. *(Required)* Yes No We record the information you give us in a secure database. This allows us to keep in touch with you and let you know about the exciting things FYF has available for you to get involved in. We will not give any of your details to anyone outside Finding Your Feet without your consent. You can get in touch to ask for your details to be removed at anytime. Please tick the box to confirm you acknowledge this. *(Required)* Please tick to confirm Feedback:Which product (s) did you purchase?Were you happy with the process?On a scale of zero (unlikely) to ten (very likely), how likely would you be to recommend us to friends or family?Please select012345678910On a scale of zero (unlikely) to ten (very likely), how likely would you be to recommend our shop / merchandise to friends or family?Please select012345678910How did you hear about FYF?Please selectHealth ProfessionalFriends or FamilyInternet SearchMedia / PressOtherIf you selected other above, please tell us more here.Which type of club did you attend?*please selectVirtual / Online ClubFace to face / In person ClubWhich area did you attend?*Please selectGlasgowDundeeEdinburghAberdeenAyrFifeInvernessWhich club did you attend?* Which club did you attend?* Which platform was your club held on?Please selectZoomFacebook LiveFacebook Pre-recordedMessenger Chat GroupWhich platform do you prefer and why?Is there any other way we could help you connect to our online activities?How beneficial did you find the club?*Please selectExceeded all expectationsBetter than expectedAs expectedBelow expectationsDisappointingWith reference to your last answer, would you like to leave a comment?Any ideas or suggestions to change/improve the club?Do you have any suggestions for new clubs?Which Clubs would you be interested in attending? Wheelchair Basketball Wheelchair Rugby Horse Riding Football Archery Wheelchair Curling Golf Badminton Tennis Other Please write your suggestions below.How far would you travel to attend a club? Less than 10 miles between 10 and 20 miles more than 10 miles Select AllWould you recommend these sessions to others?*Please selectYesNoHas your self esteem increased by taking part in this club?*Please selectYesKind ofNoWhich gender do you identify as?*MaleFemaleOtherPrefer not to sayWhat gender do you identify by? Which age range do you fall into?*Under 1011-1718-2425-6465+If you made use of the FYF transport, would you still attend if this was not available?*YesNoAny additional comments?We may use your comments on our website. Please indicate below if you'd rather remain anonymous.Please selectI'd rather remain anonymousFeel free to use my nameWould you like us to get back to you about any of your comments?Please selectYesNoPlease leave your contact number below.* Contact Tel: Thank you very much for your purchase and your feedback. Thank you for your feedback. We will use the results to our clubs survey to ensure you get the most out of the clubs we run, and also in applying for funding to continue running clubs like this. Thank you. Privacy Policy*Do you accept our Privacy Policy? I Accept