TELL US WHAT YOU THINK - NGUMPI URUUE (HOUSING SERVICE)

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

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1. What is the date?

Date/ Time

Date

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2. Please tick if you are exiting the service

Yes

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3. Please indicate how satisfied or unsatisfied you were with the following:

	Very satisfied	Satisfied	Neutral	Unsatisfied	Very unsatisfied
Quality of services provided	Quality of services provided Very satisfied	Quality of services provided Satisfied	Quality of services provided Neutral	Quality of services provided Unsatisfied	Quality of services provided Very unsatisfied
Condition of my home	Condition of my home Very satisfied	Condition of my home Satisfied	Condition of my home Neutral	Condition of my home Unsatisfied	Condition of my home Very unsatisfied
Repairs & maintenance services provided	Repairs & maintenance services provided Very satisfied	Repairs & maintenance services provided Satisfied	Repairs & maintenance services provided Neutral	Repairs & maintenance services provided Unsatisfied	Repairs & maintenance services provided Very unsatisfied
ATSICHS Brisbane's communication	ATSICHS Brisbane's communication Very satisfied	ATSICHS Brisbane's communication Satisfied	ATSICHS Brisbane's communication Neutral	ATSICHS Brisbane's communication Unsatisfied	ATSICHS Brisbane's communication Very unsatisfied
ATSICHS Brisbane's helpfulness	ATSICHS Brisbane's helpfulness Very satisfied	ATSICHS Brisbane's helpfulness Satisfied	ATSICHS Brisbane's helpfulness Neutral	ATSICHS Brisbane's helpfulness Unsatisfied	ATSICHS Brisbane's helpfulness Very unsatisfied

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4. How likely are you to recommend us to your family and friends?

Extremely likely

Likely

Neither likely nor unlikely

Unlikely

Extremely unlikely

Extremely likely

Likely

Neither likely nor unlikely

Unlikely

Extremely unlikely

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5. Do you know how to make a complaint?

Yes

Unsure

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6. How did you hear about us?

ATSICHS Clinic

Event

Flyer

Friends/Family

Google search

Social media

Website

Other (please specify)

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7. What is one thing we did really well?

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8. What other comments or suggestions do you have?

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

Name

Phone

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.