Feedback on our services

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Your contact details

If you would like to discuss your feedback with us, please write your contact details below. If you would like your feedback to be anonymous, do NOT complete this section. Please leave your name and contact details if you are submitting a complaint, and would like us to work with you to resolve it in line with our complaints procedure.
Date*

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Name

First NameLast Name
I would like to be contacted by

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Phone number
Email
example@example.com
When is the best time to contact you?
Please suggest a time and day of the week - our office is open Monday to Friday 9am-5pm excluding public holidays.
Your feedback
1. Did the service meet your needs?
Please tick the box that applies.

Yes, the service met my needsThe service met some of my needsNo, the service did not meet my needs
2. Please tell us about you
Please tick the box that applies.

I identify as Aboriginal and/or Torres Strait IslanderI have a disabilityI have a non-English speaking backgroundI identify as LGBTIQA+I don’t identify with any of theseI prefer not to say
3. Do you have any further feedback?

What did you find helpful/supportive at GenWest? How could the service be improved?
Please type your feedback and suggestions here.
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Your contact details