We value your feedback so we can improve our services.

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* 1. Date:

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* 2. Relevant Program

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* 3. Tick one box in each line below

  Strongly Disagree Disagree Neutral Agree Strongly Agree Not Applicable
At the beginning of this program, I/we were:
- Explained our rights
- Involved in setting goals
- Clearly explained the program 
During the program, QEC staff:
- Provided consistent information
- Provided information that we could
understand
- Provided us with time and space to
increase skills
- Treated us with respect
- Respected and met our cultural needs
- Encouraged us to share our challenges
and strengths
- Were knowledgeable and helpful
- Gave us opportunities to give feedback
(was: that I could speak up if needed to)
- Involved us in decision-making about
support
On completion, I/we felt:
- Understood and listened to (was: that I
could speak up if needed to)
- Increased confidence in my/our parenting
- That we met our goals
- That our family experienced positive
change
- That we would recommend QEC to others
- The facilities were comfortable
- I liked the food

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* 4. Which parts of the food service were you satisfied with (tick all that apply)?

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* 5. Which catering service does the feedback relate to (tick all that apply)?

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* 6. If you had a complaint about a facility or maintenance issue during your stay, was it resolved?

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* 7. Room number (optional):

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* 8. Was the referral process easy?

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* 9. If you received an 'assessment and intake' advice phone call from our nurse, was it helpful?

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* 10. Are you interested in learning about how you can help QEC to improve its services (optional)?

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* 11. Please share any other comments or suggestions (including the use of Telehealth):

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