Feedback Form and Annual Survey
1.
How long have you been with Thrive Wellness and Consulting
Less than 6 months
6 to 12 months
More than 12 months
2.
Do you know what your rights and responsibilities are (right to complain, right to an advocate, right to privacy)?
Yes
No
Not sure
3.
Do you know how to make a complaint to Thrive Wellness and Consulting?
Yes
No
Not sure
4.
If you have made a complaint to Thrive Wellness and Consulting, what was it about?
5.
Do you feel you have choice and control over the service you receive?
Yes
No
Not sure
6.
Do you feel safe accessing services at Thrive Wellness and Consulting?
Yes
No
Not sure
7.
What suggestions for improvement would you have?
8.
What is your overall comment regarding Thrive Wellness and Consulting Services?
9.
What rating would you give Thrive Wellness and Consulting?
1 (Not Good)
2 (Ok)
3 (Good)
4 (Really Good)
5 (Great)
10.
What is the name of the client access our service (please leave blank if you want to remain anonymous)