Thanks for taking your time to complete the customer feedback survey. This survey is anonymous and is a helpful way to improve our services for you.

Service visited

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* 1. Service visited

Date visited

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* 2. Date visited

Date / Time
Do you feel we were kind and compassionate?

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* 3. Do you feel we were kind and compassionate?

Did we listen and understand you? 

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* 4. Did we listen and understand you? 

Did we make you a priority and follow through with what we said?

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* 5. Did we make you a priority and follow through with what we said?

Do you feel stronger with leading your own life?

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* 6. Do you feel stronger with leading your own life?

Did we help you reach your goals? 

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* 7. Did we help you reach your goals? 

Would you recommend us to your family and friends? 

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* 8. Would you recommend us to your family and friends? 

What is one thing we did really well?

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* 9. What is one thing we did really well?

What other comments or suggestions do you have?

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* 10. What other comments or suggestions do you have?

Want to have a yarn with someone? (Optional)

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* 11. Want to have a yarn with someone? (Optional)

Thank you for participating in our survey. The information you provide will enable us to provide a better service. ATSICHS Brisbane will not be able to personally identify you by the information you provide in your responses to this survey, unless you choose to provide your details and request us to contact you.

We will not disclose your personal information to third parties without your consent.

ATSICHS Brisbane is committed to protecting your privacy in accordance with the Information Privacy Principles of the Information Privacy Act 2009.

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