Leave your contact details below to go into a prize draw for a $50 voucher!

Kia ora. Thank you for your confidential feedback - it helps us provide the best possible services. 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 worker/s?

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* 3. What do you think the service did well? What has changed for you?

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

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

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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 quarterly prize draw to win a $50 voucher, 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.
Click here for info on how your privacy is protected.

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

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