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Compliments, Complaints and Feedback Form

We value your opinion about your experiences with us. Completeting this survey is voluntary and will not affect the care you receive.

You do not have to complete this survey, but we hope that you will. Your feedback will help us review and improve our service.

Please complete the survey below:          

Please indicate the name of your service provider:*
How long (or how many sessions) have you been involved in this service for?:*
The process of making the first appointment worked well:*
The waiting time for my first appointment was suitable:*
I felt understood by my service provider:*
I have benefited from the service:*
I felt comfortable to use the service:*
My privacy and confidentiality was upheld in this service:*
The communication between my service provider and GP was useful:*
I feel my service provider would welcome any feedback I have:*
I would be willing to be referred again if the need arose:*
I am aware of my rights to express concerns about any aspect of this service:*
Overall, how would you rate your wellbeing improvement with the program?*
Please tick the component(s) your health provider addressed well:*
What does this service or your health provider do well?:
What could be improved?
Any other comments?
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