Customer Feedback and Complaints Form

Question Title

* 1. What services do you receive from Familiar Faces?

Day program

Accommodation services

Community access

In-home care

Other

Question Title

* 2. Overall, how satisfied are you with the quality of services provided by Familiar Faces Illawarra?

Very satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Very dissatisfied

Unsure

Question Title

* 3. How long have you been a customer of our company?

Less than six months

Six months to a year

1 - 2 years

3 or more years

None of the above

Question Title

* 4. Do you have a problem or complaint about the services you have been provided?

Yes

Question Title

* 5. If you answered yes to the above question, please provide us with more information if you feel comfortable doing so.

Question Title

* 6. Do you have any suggestions on how we can improve our services?

Yes

Question Title

* 7. If you have ticked yes to the above question, please tell us how we can improve our services.

Question Title

* 8. How likely is it that you would recommend Familiar Faces Illawarra to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

Customer Feedback and Complaints Form

Question Title

* 1. What services do you receive from Familiar Faces?

Question Title

* 2. Overall, how satisfied are you with the quality of services provided by Familiar Faces Illawarra?

Question Title

* 3. How long have you been a customer of our company?

Question Title

* 4. Do you have a problem or complaint about the services you have been provided?

Question Title

* 5. If you answered yes to the above question, please provide us with more information if you feel comfortable doing so.

Question Title

* 6. Do you have any suggestions on how we can improve our services?

Question Title

* 7. If you have ticked yes to the above question, please tell us how we can improve our services.

Question Title

* 8. How likely is it that you would recommend Familiar Faces Illawarra to a friend or colleague?

Question Title

* 9. If you would like to be contacted about your feedback, please leave your details below.