Leave your contact details below to go into a prize draw for MOVIE TICKETS!

Kia ora. Thank you for your voluntary feedback - it helps us provide the best possible services. Click here for information on how your privacy is protected. Your feedback will go to the Team Leader.

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* 1. Which Community Wellbeing service are you providing feedback on?

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* 2. Optional: what is the name of the service worker/s?

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* 3. Overall, how satisfied are you with the service/support you (or your family) received?

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* 4. What do you think the service did well?

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* 5. What do you think the service could have done better?

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* 6. What has changed for you (or your family) as a result of the service you received? Please select all that apply.

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* 7. Thank you for completing this survey. To enter a prize draw to win movie tickets, please write your contact information below.

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* 8. Can we follow up with you regarding your feedback?

A big Thank You from the Community Wellbeing team. Kia kaha, kia maia, kia manawanui.

If you wish to contact the Team Leader directly, email Deirdre Ryan at manager@wellbeingnc.org.nz

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