Consumer Experience Survey - Child Development Program

Child and Youth Community Health Service

Thank you for attending our Child Development Program. Your feedback is valuable to us. Please complete the survey below to let us know what we did well and how we can improve the service we provide to you.

*Please do not provide any personal information on this form as your feedback will be collated into Survey Monkey - an electronic online system

Question Title

* 1. Did we treat you well?

Not well

Could do better

Neutral

Well

Very well

Not well

Could do better

Neutral

Well

Very well

Question Title

* 2. Did we help you with your problem?

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Question Title

* 3. Why did you rate us this way?

Question Title

* 4. How can we do better?

Question Title

* 5. Which service did you attend/use ?

Thank you for taking the time to complete this survey

If you would like to tell us more about your experience please Email: CHQ_PatientExperience@health.qld.gov.au
Or you can speak with our patient experience team by calling (07) 3068 1120