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Customer Feedback and Complaints Form
1.
What services do you receive from Familiar Faces?
Day program
Accommodation services
Community access
In-home care
Other
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
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
4.
Do you have a problem or complaint about the services you have been provided?
Yes
No
5.
If you answered yes to the above question, please provide us with more information if you feel comfortable doing so.
6.
Do you have any suggestions on how we can improve our services?
Yes
No
7.
If you have ticked yes to the above question, please tell us how we can improve our services.
8.
On a scale of 0 to 10,
How likely is it that you would recommend Familiar Faces Illawarra to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
Not at all likely
Extremely likely
0
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10
9.
If you would like to be contacted about your feedback, please leave your details below.
Current Progress,
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