Feedback Form I choose to remain Anonymous Yes No (Please fill out details below) First Name Last Name Email Address Phone Number Do the services we offer meet your needs? * Yes No Somewhat If your needs are not being met, what areas do we need to improve? Quality of service delivery Meeting cultural needs Facilities/environment Community participation Overall management and operations Handling complaints/grievances Safety and well-being General enquires and information Do you have any suggestions we could improve on to better our servcie provided to you? Your suggestions, list here. How do you feel about the staff in our organisation? Tick one or more boxes. Very Competent Competent Not Competent Very friendly Friendly Not friendly In what areas could staff improve to meet your needs? Tick one or more boxes. * Job expertise/level of skills Cultural knowledge and skills Communication and listening skills Providing access to information Meeting individual needs Maintaining privacy and confidentiality Behaviour and attitudes Efficiency (things done on time) Providing feedback Working with other relevant agencies If an area is not listed above, please make suggestions here. Do you have any positive or negative feedback about your current staff? If you would like to discuss any matters raised in this feedback form, please provide your name and contact number and/or email below. reCAPTCHA Signature Clear
