Brake

helpline

Please give us your feedback

 
Thank you for taking time to complete this online form. Your feedback on Brake’s support services is invaluable. It helps us to improve these services and gain future funding for them. All feedback is anonymous and considered with care in an annual review.
 


 


 
If you have used Brake’s bereavement pack please answer the following questions. If not please go to question 11.
 
 
 
 
 
 
 








 
 
 
 
If you have used Brake’s helpline service please answer the following questions. If not please go to question 19.
 
 
 
 
 
 







 
 
 
In addition to providing feedback on Brake’s support services we would appreciate if you could answer the following questions about you. If you don’t want to answer them, just leave them blank. We ask these questions to help to tackle discrimination and promote equality. It helps us make sure our services are accessible and helpful for everyone who needs them. All information provided is anonymous and we don’t ask for any details that could identify you.
 
 
 
 
 
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Every 30 seconds someone, somewhere in the world, is killed in a road crash.The misery of road deaths and injuries and the pollution caused by vehicles is a shameful epidemic that must end. Brake campaigns to stop the carnage and supports the victims.

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