Feedback & Complaints

Name *

Please note, if you do not leave your name we will be unable to contact you regarding the feedback you have provided.

First Name

Last Name

Phone

Please note, if you do not leave your name we will be unable to contact you regarding the feedback you have provided.

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Name

Please note, if you do not include your name in your submission, we will be unable to contact you for further information or an outcome.

First Name

Last Name

Phone

Please note, if you do not include your email or phone number in your submission, we will be unable to contact you for further information or an outcome.

(###)

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What Service Is Your Complaint Regarding? *

Our Mates Place

SIL

Social & Community

Other

Date That It Happened *

MM

DD

YYYY

Time That It Happened *

Hour

Minute

Second

AM PM

Participant's Name

First Name

Last Name

Person Completing The Survey Name

First Name

Last Name

Phone Number

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Please indicate which Unique Directions services you receive *

Tick the applicable boxes

Supported Independent Living

Social & Community Participation

Our Mates Place

Support Coordination

Other

How does our service compare to other service providers? *

You're the best

Better

Slightly better

Same quality

Worst

How would you rank the quality and professionalism of our workers?

They are the best

They are better

Slightly better

Same quality

Worst

How do you rank the rostering and provision of supports you receive? *

I always get the support I want

Occasionally the support I want

Half the time the support I want

I rarely get the support I want

I never get the support I want

Would you like to be contacted regarding this survey so we can discuss improvement and address any discuss improvement and address any dissatisfaction if there is any? *

Please note, we cannot contact you if you do not leave your name and phone number.

Yes

No

Worker Name *

First Name

Last Name

Phone Number

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Please indicate which Unique Directions department/s you work in and your reporting manager/s *

Please tick the relevant boxes

Client Services

Our Mates Place

Support Coordination

Support Office

Other

Do you feel valued at work? *

Yes

No

Do you feel you can add value? *

Yes

No

Does your job cause you stress or anxiety? *

Yes

No

Do you feel supported in your role? *

Yes

No

Hoes does working at Unique Directions compare to other employers? *

They are the best

Better

Slightly better

Same quality

Worst

Would you like to be contacted regarding this survey so we can discuss improvement and address any dissatisfaction if there is any? *

Please note, we cannot contact you if you do not leave your name and phone number.

Yes

No