Red Shield NILS Enquiry Survey

Question Title

* 1. How easy did you find the enquiry process?

Too Difficult

Easy

Exceptionally Easy

Too Difficult

Easy

Exceptionally Easy

Other (please specify)

Question Title

* 2. How satisfied are you with the timeliness of the reply to your enquiry?

Other (please specify)

Question Title

* 3. Are you satisfied with the information provided to you about the NILS program?

Other (please specify)

Question Title

* 4. How likely are you to refer someone to Red Shield NILS

Unlikely

Likely

Very Likely

Unlikely

Likely

Very Likely

Other (please specify)

Question Title

* 5. Providing your contact details is not compulsory but will assist us to contact you if needed.

Name

City/Town

Email Address

Phone Number