Moira Shire Council - Maternal Child Health & Immunisation seek your feedback on recent services provided to continue to improve our service delivery to you. Thank you for completing the short survey.

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* 1. Which service/s did you attend?

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* 2. Where was your appointment?

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* 3. Child's name (optional)

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* 4. What is the age of your child/children who received recent services?

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* 5. Please rate your experience

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* 6. Would you recommend our service to a relative or friend?

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* 7. Do you feel you were listened to?

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* 8. The centre I attended was easily accessible, clean, well presented and culturally sensitive?

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* 9. Is there anything we could do to improve our services? Please enter a comment.

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* 10. Would you like to be contacted about your recent appointment or to provide further feedback?

Moira Shire Council is collecting details on this form to gather information on the provision of Maternal and Child Health services. The information collected will be used for the purpose it was collected and/or a directly related purpose. You can find out more about how we use and protect your information by viewing our Privacy Statement on our website www.moira.vic.gov.au

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* 11. Other comments:

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