CLIENT FEEDBACK

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Client Feedback

Thank you for taking the time to complete this feedback sheet. We will use your comments to improve our services. This is a confidential document and names are not required.

CLIENT FEEDBACK FORM

Do the services we offer/provide meet your needs?

Yes

No

Some

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

What do you think we can do to improve in these areas?

How do you feel about the staff in our organisation? Tick one or more boxes.

Competent

Very Competent

Not Competent

Very friendly

Friendly

Not friendly

In what areas could staff improve to meet your needs?

Job Expertise/Level of Skills

Cultural Knowledge and Skills

Communication and Listening Skills

Providing Access to Information

Meet Individual Needs

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, use the space below for other suggestions.

What other improvements do you suggest for our organisation?

Overall have you been satisfied or dissatisfied by the services that are being provided to you.

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

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Community Services Care provider located in the ACT and with extended coverage to NSW.

+(61) 0420841418
info@lekota.com.au

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Services We Offer

Support Coordination
Independent Living and Support
Social Support / Community
Bowel Care Management
In-Home-Care

Physical Disabilities Care
High Intensity Supports
Basic Domestic Care
Community Participation

Forms

Consent Form
Referral Form
Client Feedback

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