Client Feedback
 

Thank you for taking the time to fill out this survey.

After each question, please explain the reason for your selection to enable us to evaluate our service further. We appreciate your feedback and welcome all your comments. If you need a worker to contact you, please provide your name and contact details at the end of this survey.

1. My expectations of the service were met by the workers.

Please explain why:

2. Staff explained when my expectations weren’t able to be met.

Please explain why:

3. My privacy and confidentiality was explained and respected by staff.

Please explain why:

4. My culture and beliefs were treated in a respectful and sensitive manner.

Please explain why:

5. I was given information and options from which I could choose from.

Please explain why:

6. My rights and responsibilities as a client were explained and upheld.

Please explain why:

7. My right to complain and the process for complaints were discussed with me.

Please explain why:

8. I was treated with respect and dignity by staff.

Please explain why:

9. My first contact with WAYSS was a positive experience.

Please explain why:

10. Was an interpreter used?

11. Client exited the service?

12. Is the client an ongoing client?

13. Worker / Program Details

14. Name (optional)

15. Contact Number