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. Question Title * 1. How did you hear about our service? GP Hospital Word of Mouth Family/Friend Advertising Other Service/Agency Other (please specify) Question Title * 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) Question Title * 3. What town did you access the service/s in? Boort Cohuna Kerang Koondrook Pyramid Hill Quambatook Other (please specify) Question Title * 4. Did you have any trouble getting to or into any of our buildings? Please describe the trouble. Question Title * 5. Were you given information about your rights & responsibilities? Yes No Question Title * 6. Do you feel your rights were respected? Yes No Question Title * 7. Do you feel we respected your culture and cultural identity? Yes No Not Applicable Question Title * 8. Were you given information on making a complaint or giving feedback? Yes No Question Title * 9. Were you given information on accessing an advocate or bringing a support person? Yes No Question Title * 10. Did you need the services of an advocate or a support person? Yes No Question Title * 11. Were your options explained in a way that you could understand? Yes No Question Title * 12. Were you free to make your own choice about your care? Yes No Question Title * 13. How would you rate the service/treatment you received from us? Poor Average Good Very Good Excellent Question Title * 14. How would you rate the time it took to get an appointment Poor Average Good Very Good Excellent Question Title * 15. How would you rate the health information you received from us? Poor Average Good Very Good Excellent Question Title * 16. How would you rate the level of care shown to you by our team? Poor Average Good Very Good Excellent Question Title * 17. How would you rate our level of understanding of your needs? Poor Average Good Very Good Excellent Question Title * 18. Please tell us if there's a service you wish we could provide: Question Title * 19. Any other comments/suggestions you would like to make? Done
