Feedback Form

Welcome to our feedback form. Your insights and experiences are invaluable to us. This form is designed to gather your thoughts on the services we provide, focusing on your interactions with our office staff, including support coordinators and plan managers, as well as our support workers.

Your feedback plays a crucial role in helping us understand what we’re doing well and where we can improve. We aim to ensure that our services meet your needs and expectations, and your input is essential in guiding our efforts to enhance the quality and accessibility of our support.

Please rest assured that all feedback is treated with the utmost confidentiality and respect. We carefully review every response to identify opportunities for improvement and to celebrate our successes. Your insights will directly contribute to shaping our services and making a positive impact on our community.

Thank you for taking the time to share your experiences with us. Your voice is critical in our mission to provide the best possible support and care.

First Name

Last Name

Contact Phone Number

OUR OFFICE STAFF

1. Initial Contact and Responsiveness

How satisfied are you with the timeliness of responses from our office staff when you first contact us?

1. Very Satisfied 2. Satisfied 3. Neutral 4. Dissatisfied 5. Very Dissatisfied

2. Understanding and Support

How well do our office staff understand your needs and provide appropriate support?

1. Very Well 2. Well 3. Neutral 4. Poorly 5. Very Poorly

3. Communication and Information

How clear and helpful is the communication you receive from our office staff?

1. Very Clear and Helpful 2. Clear and Helpful 3. Neutral 4. Unclear and Unhelpful 5. Very Unclear and Unhelpful

4. Professionalism and Courtesy

How would you rate the professionalism and courtesy of our office staff?

1. Very Professional and Courteous 2. Professional and Courteous 3. Neutral 4. Unprofessional and Discourteous 5. Very Unprofessional and Discourteous

5. Problem Resolution

If you encounter any issues, how effectively do our office staff resolve them?

1. Very Effectively 2. Effectively 3. Neutral 4. Ineffectively 5. Very Ineffectively

FEEDBACK ON SUPPORT WORKERS

1. Respect and Dignity

How respected and valued do you feel when interacting with our support workers?

Very Respected and Valued Respected and Valued Neutral Disrespected and Undervalued Very Disrespected and Undervalued

2. Assistance and Care Quality

How would you rate the quality of assistance and care provided by our support workers?

1. Excellent 2. Good 3. Average 4. Poor 5. Very Poor

3. Knowledge and Competence

How knowledgeable and competent do you find our support workers in addressing your needs?

1. Very Knowledgeable and Competent 2. Knowledgeable and Competent 3. Neutral 4. Somewhat Knowledgeable and Competent 5. Not Knowledgeable and Competent

4. Reliability and Punctuality

How reliable and punctual are our support workers in providing their services?

1. Very Reliable and Punctual 2. Reliable and Punctual 3. Neutral 4. Unreliable and Unpunctual 5. Very Unreliable and Unpunctual

5. Personal Connection

How connected and understood do you feel by our support workers?

1. Very Connected and Understood 2. Connected and Understood 3. Neutral 4. Disconnected and Misunderstood 5. Very Disconnected and Misunderstood

GENERAL FEEDBACK AND SUGGESTIONS

5. Personal Connection

Overall, how satisfied are you with the services provided by our disability service?

1. Very Satisfied 2. Satisfied 3. Neutral 4. Dissatisfied 5. Very Dissatisfied

2. Improvement Suggestions

What improvements, if any, would you suggest for our services?

3. Additional Comments

Please share any additional comments or experiences you would like us to know about.

A family driven lifestyle, recreation and leisure support service operated by a Management Committee consisting of parents and interested community members

Visit Us

113-115 Aumuller St, Bungalow Qld 4870
(07) 4035 6771
admin@lifestyleconnections.com.au

OFFICE HOURS

Monday - Friday:
9:00AM - 4:30PM

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