Complaints – Questionnaire
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Complaints – Questionnaire
We would appreciate your help completing this short questionnaire to help us improve our Complaint Procedures.
Name:________________________________________________________________________________
Signature:__________________________________________ Date:____/____/_____
Overall how satisfied are you with the results from the Complaint Procedure? (Please circle one)
Very Satisfied Satisfied Neither satisfied or dissatisfied Dissatisfied Very Dissatisfied
- Did you receive a letter of receipt if you made your complaint in Yes No N/A
writing?
- Was your complaint investigated fairly, impartially, promptly and Yes No N/A
thoroughly? If no, please provide comments.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
- Were the results of the investigation communicated to you in writing? Yes No N/A
- If you weren’t happy with the outcome of the investigation, were you Yes No N/A
offered an external review of your complaint?
Please provide any suggestions about how we may improve our Complaint Procedure below.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Thank you for your time. Please use the addressed and stamped envelope to return this form or hand directly to the Nominated Supervisor.
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