Our Programs & Services

Client Feedback Survey

At Amity Health, we work towards providing health and wellbeing solutions for people living in regional Western Australia. If you would like to provide feedback on our programs and services, please complete this short survey below.

Thankyou!

1.In which location did you receive our services?

Amity Health Great Southern

Amity Health Midwest

Amity Health South-East Coastal Goldfields

Amity Health South West

Amity Health Wheatbelt

*2.Which Amity Health program or service did you recently use?(Required.)

To see an Art Therapist

To see a Diabetes Educator

To see a Dietitian

To see a Mental Health Clinician

To see an Occupational Therapist

To attend an Aboriginal & Torres Strait Islander Mental Health & Wellbeing group

To see a Speech Pathologist

To see a Chronic Disease Care Coordinator

To see a Psychologist

To see a care finder about aged care

To attend the Narrogin Kids Hub playgroup

To attend the Merredin Kids Hub playgroup

To engage with the Communities for Children program

To see a Visiting Specialist (Rheumatologist, Audiologist, Podiatrist, Sonographer etc.)

Other (please specify)

*3.How were you referred to Amity Health?(Required.)

I referred myself

My Doctor/Health Practitioner

Through the NDIS

Not applicable

*4.Did your experience with Amity Health meet your expectations?(Required.)

Yes

Unsure

5.Based on your recent visit to Amity Health, how would you rate the comfort, ambience and physical environment of our waiting area? (1 star being poor, 2 stars being satisfactory, 3 stars being good and 4 stars being excellent)

One Star

1 star

Two Stars

2 stars

Three Stars

3 stars

Four Stars

4 stars

Why did you give this rating?

*6.Do you feel that Amity Health provides a safe environment for children and young people?(Required.)

Yes

Unsure

*7.How likely are you to recommend our programs or services to friends & family, should they need similar care, treatment or services?(Required.)

Extremely likely

Likely

Neither

Unlikely

Extremely unlikely

Extremely likely

Likely

Neither

Unlikely

Extremely unlikely

8.Based on your responses, we encourage you to provide any comments or feedback to help improve our program and service delivery.

9.Would you like Amity Health to get in touch with you? Please provide your name and contact details below, unless you wish to remain anonymous.

Name

Email Address

Phone Number

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