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Client Experience Survey

Thank you for completing this short survey to help us improve our service. Your feedback is extremely important to us!

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* 1. Demographics (as registered with ACC)

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* 2. Which category below includes your age?

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* 3. What is your ethnic background?

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* 4. Which region do you live in?

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* 5. How satisfied were you in your level of involvement in the development of your plan?

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* 6. Overall, how well do you think we coordinated with your GP, employer, other treatment providers and rehabilitation specialists?

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* 7. Did you have any cultural needs that you needed taken into consideration?

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* 8. If you answered Yes to the above, how well do you feel we considered your cultural needs?

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* 9. How satisfied are you with the services that you received from us?

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* 10. How easy were your programme plans and reports to understand?

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* 11. How much did the service to you help in achieving a good outcome?

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* 12. Was a Telehealth* appointment included as part of your service? (*video assessment in place of a face-to-face appointment)

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* 13. If yes, how effective did you find your Telehealth appointment(s)?

0 10
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 14. Please provide any feedback relating to your Telehealth experience so we can make improvements and ensure optimal service is being delivered.

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* 15. How likely is it that you would recommend our service to a friend or colleague?

Not at all likely
Extremely likely

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* 16. Please provide any general comments you may wish to make, regarding the rehabilitation or services received.

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* 17. If you would like to be contacted please leave your name and contact details below.

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