Skip to content
Client Satisfaction Survey
Thank you for taking the time to complete this survey, which enables us to continuously improve the services we provide to our community. Please note that the survey is strictly confidential and no record is kept of who completed it.
1.
How did you hear about our service?
GP
Hospital
Word of Mouth
Family/Friend
Advertising
Other Service/Agency
Other (please specify)
2.
What service/s did you access?
Footcare
Diabetes Education/Support
Doctor
Nurse Practitioner
Community Health Nursing
Clinic Nurse
Dietitian
Counselling/Withdrawal
Womens Health
Occupational Therapy
Speech Pathology
Specialist Homelessness Service
Partners in Recovery
Physiotherapist
Other (please specify)
3.
What town did you access the service/s in?
Boort
Cohuna
Kerang
Koondrook
Pyramid Hill
Quambatook
Other (please specify)
4.
Did you have any trouble getting to or into any of our buildings? Please describe the trouble.
5.
Were you given information about your rights & responsibilities?
Yes
No
6.
Do you feel your rights were respected?
Yes
No
*
7.
Do you feel we respected your culture and cultural identity?
(Required.)
Yes
No
Not Applicable
*
8.
Were you given information on making a complaint or giving feedback?
(Required.)
Yes
No
9.
Were you given information on accessing an advocate or bringing a support person?
Yes
No
10.
Did you need the services of an advocate or a support person?
Yes
No
11.
Were your options explained in a way that you could understand?
Yes
No
12.
Were you free to make your own choice about your care?
Yes
No
13.
How would you rate the service/treatment you received from us?
Poor
Average
Good
Very Good
Excellent
14.
How would you rate the time it took to get an appointment
Poor
Average
Good
Very Good
Excellent
15.
How would you rate the health information you received from us?
Poor
Average
Good
Very Good
Excellent
16.
How would you rate the level of care shown to you by our team?
Poor
Average
Good
Very Good
Excellent
17.
How would you rate our level of understanding of your needs?
Poor
Average
Good
Very Good
Excellent
18.
Please tell us if there's a service you wish we could provide:
19.
Any other comments/suggestions you would like to make?