Client experience survey

We value your feedback.

Whether it's to provide suggestions on how we could improve our services, or to compliment a member of our team, we'd like to hear from you.

Question Title

* 1. How satisfied were you with us?

Not satisfied

Satisfied

Not satisfied

Satisfied

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* 2. Which best describes your involvement in the matter?

You made the complaint about a health service you received

You made the complaint on behalf of another person

You made the complaint/notification in your professional capacity as a health service provider, a health service employer, or as someone who provides health education

The complaint/notification was made against you or your client

Question Title

* 3. How was our service?

	Disagree	Somewhat disagree	Somewhat agree	Agree
We were professional and treated you with respect	We were professional and treated you with respect Disagree	We were professional and treated you with respect Somewhat disagree	We were professional and treated you with respect Somewhat agree	We were professional and treated you with respect Agree
We were respectful of your cultural requirements	We were respectful of your cultural requirements Disagree	We were respectful of your cultural requirements Somewhat disagree	We were respectful of your cultural requirements Somewhat agree	We were respectful of your cultural requirements Agree
We provided quality customer service to you	We provided quality customer service to you Disagree	We provided quality customer service to you Somewhat disagree	We provided quality customer service to you Somewhat agree	We provided quality customer service to you Agree
We met the timeframes that were set	We met the timeframes that were set Disagree	We met the timeframes that were set Somewhat disagree	We met the timeframes that were set Somewhat agree	We met the timeframes that were set Agree
We explained things clearly when we spoke with you	We explained things clearly when we spoke with you Disagree	We explained things clearly when we spoke with you Somewhat disagree	We explained things clearly when we spoke with you Somewhat agree	We explained things clearly when we spoke with you Agree
We explained things clearly when we wrote to you	We explained things clearly when we wrote to you Disagree	We explained things clearly when we wrote to you Somewhat disagree	We explained things clearly when we wrote to you Somewhat agree	We explained things clearly when we wrote to you Agree
You understand how the outcome was reached	You understand how the outcome was reached Disagree	You understand how the outcome was reached Somewhat disagree	You understand how the outcome was reached Somewhat agree	You understand how the outcome was reached Agree
You believe the matter was dealt with in a balanced, fair and reasonable way	You believe the matter was dealt with in a balanced, fair and reasonable way Disagree	You believe the matter was dealt with in a balanced, fair and reasonable way Somewhat disagree	You believe the matter was dealt with in a balanced, fair and reasonable way Somewhat agree	You believe the matter was dealt with in a balanced, fair and reasonable way Agree

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* 4. Comments and suggestions

Question Title

* 5. Your name and case number (optional)

This is a survey only and will be used to inform future improvements to our services.