Feedback About Support You Receive
About You
Your name
*
First Name
Last Name
Location or area where you are supported
*
Please Select
Seagables
Children's
Carter House
Hill Street
St Peters View
Community services
Complex
Your Experience
Do you feel safe with your staff and at the location where you live?
*
Please Select
Yes
No
Please provide feedback if you answered 'No'
Do you feel listened to?
*
Please Select
Yes
No
Please provide feedback if you answered 'No'
Are you treated with dignity and respect?
*
Please Select
Yes
No
Please provide feedback if you answered 'No'
Do you feel staff understand you?
*
Please Select
Yes
No
Please provide feedback if you answered 'No'
Do you make choices about your support?
*
Please Select
Yes
No
Please provide feedback if you answered 'No'
Please rate the care you receive
*
1
2
3
4
5
Poor Best
Any other feedback for 'Your Experience'?
Your Support
Support Workers - Please rate each area of the support you receive
*
Rows
Always
Usually
Sometimes
Rarely
Never
Not consistent between support workers
N/A
Are your support workers on time?
Are your support workers professional?
Are your support workers caring?
Do your support workers promote your dignity eg do they help you to keep covered up when getting changed or when having your personal care?
Do your support workers knock before entering your home?
Do your support workers have enough training to support you?
Do your support workers communicate with you in a way you understand?
Do you feel able to communicate when something is wrong?
Do you feel listened to by your support workers?
Please provide any feedback for 'Your Support'
Management
Management support
*
Rows
Always
Usually
Sometimes
Rarely
Never
N/A
Do managers communicate with you in a way you understand?
Do managers help you if you have raised a complaint or concern
Do you feel managers are ensuring that the care you receive is how you want it to be
Do you have regular meetings about your care
Please provide any feedback for 'Management'
Your Voice
What do we do well?
*
Where could we improve?
*
If you could change ONE thing about the support you receive what would it be?
*
Submit
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