Client Satisfaction Survey

By completing this survey you will help us provide better services - Thank you!
  -  This survey is voluntary but will help us a lot.
  -  There are no right or wrong answers.
  -  The quality of the care and support you receive or the way you are treated will not be affected by your answers.
1.CQRH/RHMS Practitioner's name (optional)
2.What is your gender?
3.How old are you?
4.How many visits/ sessions have you had?
5.How long have you been coming to CQRH/RHMS?
6.Are you or Aboriginal or Torres Strait Islander Descent? 
7.Please rate the following:
Poor
Fair
Good
Very Good
Excellent
N/A
Making an appointment
Booking transport (if required)
Reception (were the staff helpful and respectful?
Amount of time given for each visit/service/session
How helpful was your Support Worker/ Practitioner
How well did CQRH/RHMS staff encourage you to set goals and identify opportunities to meet those goals
How adequate were the room and facilities provided
8.Please state your agreement with the following:
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I was happy with the service I received.
The service was relevant to my needs.
I felt my Care/Support Provider listened carefully to me and understood my needs.
The quality of the servicies and support provided to my family/friends/carers/advocates by CQRH/RHMS was excellent.
I was involved in the decision making process with the CQRH/RHMS Care/Support Worker.
I would access CQRH/RHMS services again if I needed help in the future and was eligible to do so.
9.Any other comments that might help us improve our service?
Current Progress,
0 of 9 answered