Client Satisfaction Question Title * 1. Todays date: Date / Time Date Question Title * 2. Which staff member did you receive assistance from? Question Title * 3. Did you get the assistance you needed? Yes No (please specify) Question Title * 4. How did we help you? Referred to another organisation Received advice/information Represented at a hearing Supported to speak to other parties and negotiate the system I was not helped Other (please specify) Question Title * 5. Overall, how satisfied or dissatisfied are you with Independent Advocacy Townsville? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied Question Title * 6. Which of the following words would you use to describe our services? Select all that apply. Reliable High quality Useful Unique Good value for money Overpriced Impractical Ineffective Poor quality Unreliable Question Title * 7. How well do our services meet your needs? Extremely well Very well Somewhat well Not so well Not at all well Question Title * 8. How would you rate the quality of service? Very high quality High quality Neither high nor low quality Low quality Very low quality Question Title * 9. How would you rate the knowledge and expertise of your Advocate? Excellent Above average Average Below average Poor Question Title * 10. Did you feel included in all decisions and did we treat you with dignity and respect? Yes I did Not at all If not, what did we do wrong? Question Title * 11. How long have you been a client? Less than six months Six months to a year 1 - 2 years 3 or more years I haven't used your services Question Title * 12. If you need Advocacy again, how likely are you to use our service? Extremely likely Very likely Somewhat likely Not so likely Not at all likely Question Title * 13. How likely is it that you will recommend our services to a friend or colleague? Extremely likely Very likely Somewhat likely Not so likely Not at all likely Question Title * 14. Do you have any other comments, questions, or concerns? 100% of survey complete. Done
