Compliments Form Compliment Form Name First Optional Last Optional Date of Birth Optional MM slash DD slash YYYY Detail your compliment:Is there anyone specifically you want your comments to be shared with? OptionalPlease let us know if you are NOT happy for us to use your comments eg. for marketing, evidence for CQC inspections (we will not use your name/DOB). OptionalMany thanks for sharing your comments. They make the staff at Belvoir Health Group feel genuinely appreciated and valued.