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* 1. Todays date:

Date / Time

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* 2. Which staff member did you receive assistance from?

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* 3. Did you get the assistance you needed?

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* 4. How did we help you?

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* 5. Overall, how satisfied or dissatisfied are you with Independent Advocacy Townsville?

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* 6. Which of the following words would you use to describe our services? Select all that apply.

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* 7. How well do our services meet your needs?

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* 8. How would you rate the quality of service?

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* 9. How would you rate the knowledge and expertise of your Advocate?

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* 10. Did you feel included in all decisions and did we treat you with dignity and respect?

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* 11. How long have you been a client?

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* 12. If you need Advocacy again, how likely are you to use our service?

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* 13. How likely is it that you will recommend our services to a friend or colleague?

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* 14. Do you have any other comments, questions, or concerns?

 
100% of survey complete.

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