Medical and Dental

Thanks for taking your time to complete the customer feedback survey. This survey is anonymous and is a helpful way to improve our services for you.

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2. Date visited


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3. How satisfied are you with the following?

  Very satisfied Satisfied Neutral Unsatisfied Very unsatisfied
Variety of services provided
Wait time for services
Friendly and warm staff
Feeling safe and supported
Overall satisfaction

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4. Would you recommend us to your family and friends?

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5. What other comments or suggestions do you have?

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6. Want to have a yarn with someone? (Optional)

Thank you for participating in our survey. The information you provide will enable us to provide a better service. ATSICHS Brisbane will not be able to personally identify you by the information you provide in your responses to this survey, unless you choose to provide your details and request us to contact you.

We will not disclose your personal information to third parties without your consent.

ATSICHS Brisbane is committed to protecting your privacy in accordance with the Information Privacy Principles of the Information Privacy Act 2009.