Please tick the relevant box to record your answers to the following questions:

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 Enquiries and Information

Email

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

How do you feel about the staff in our organisation?

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
Other

If you have selected "Other" 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