Quality of Care Report Feedback Form Question Title * 1. Receiving the report through the newspaper was a great way to reach me Strongly Disagree Disagree Agree Strongly Agree Other (please specify) Question Title * 2. The information in the report was easy to read and understand Strongly Disagree Disagree Agree Strongly Agree Question Title * 3. The report helped me understand Stawell Regional Health's approach to Quality and Safety Strongly Disagree Disagree Agree Strongly Agree Question Title * 4. What I'd like to see in next year's report Please complete this form and return it to Stawell Regional Health, 27-29 Sloane Street, Stawell. Vic. 3380. Done