Client Feedback Form

Do the services we offer meet your needs? Please select one box. (required)

YesNoSome

If your needs are not being met, what areas do we need to improve? Please select one or more boxes. (required)

Quality of service deliveryMeeting cultural needsFacilities/environmentCommunity participationOverall management and operationsHandling complaints/grievancesSafety and well-beingGeneral enquires and information

What do you think we can do to improve in these areas? Please list the specific area/s and your suggestions. (required)

How do you feel about the staff in our organisation? Please select one or more boxes. (required)

Very CompetentCompetentNot CompetentVery FriendlyFriendlyNot Friendly

In what areas could staff improve to meet your needs?

Job expertise/level of skillsCultural knowledge and skillsCommunication and listening skillsProviding access to informationMeet individual needsMaintaining privacy and confidentialityBehaviour and attitudesEfficiency (things done on time)Providing feedbackWorking with other relevant agencies

If an area is not listed above, use the space below for other suggestions.

What other improvements do you suggest for our organisation?

If you would like to discuss any matters raised in the feedback sheet, please provide your name and contact number in the space below. (required)

Client Feedback Form

Thank you for your comments.