1. Brain Injury Rehabilitation Service - Client Survey

 
Thank you for taking the time to fill out this survey. Your opinions are very important to us and are used to improve our services.

Royal Rehabilitation Centre Sydney (Royal Rehab) aims to provide the best possible services to the community and consumers. We would like to know about your experience and any suggestions you may have.

All responses will be treated as private and confidential and will be anonymous in our analysis. If you are using more than one service, you may receive more than one survey. While of course it is up to you how many surveys you choose to complete we are always interested in your feedback. If you have any matters you wish addressed, please complete the contact details at the end of the form to enable us to provide a response.

1. Client Survey Code (internal use only)

2. Person completing survey

3. Client age group

4. What was the health condition that lead to contact your with the Royal Rehab?

5. Date

 DD MM YYYY 
Please enter date in format shown.
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6. Client gender

7. If you have recently used more than one service, please only fill out this survey in relation to the Brain Injury Service. If there are other services you have also recently used, for which you would like to provide feedback, please contact the Centre on phone: 02 9807 1144 and the appropriate survey form will be forwarded to you.

Service/s used (Please tick all that apply):

8. Did you receive what you want/need from your rehabilitation program?

9. If you had any questions about your rehabilitation program, how satisfied were you with the ease of getting information?

 25%