Client feedback survey

Name

Email Address

Phone

1. The information I received about the service matched my experience of the service. 1. The information I received about the service matched my experience of the service. Agree Agree somewhat Disagree N/A Don't know

2. The services were flexible and responsive to the needs identified. 2. The services were flexible and responsive to the needs identified. Agree Agree somewhat Disagree N/A Don't know

3. I was given clear information about the service and the programs. 3. I was given clear information about the service and the programs. Agree Agree somewhat Disagree N/A Don't know

4. There are good feedback and complaints mechanisms in place. 4. There are good feedback and complaints mechanisms in place. Agree Agree somewhat Disagree N/A Don't know

5. I would recommend this service to other people. 5. I would recommend this service to other people. Agree Agree somewhat Disagree N/A Don't know

6. What did you like most about B Miles Women's Foundation?

7. What did you like least about B Miles Women's Foundation?

8. What suggestions do you have ways that we could improve our service/s?

9. Do you have any other feedback?

10. Would you like someone to contact you regarding the feedback you have provided on this survey? 10. Would you like someone to contact you regarding the feedback you have provided on this survey? Yes No