Feedback/Evaluation Form: MH Consultation
Please help me to improve my service by completing this form.
Name
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First Name
Last Name
E-mail
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How satisfied were you with the support you received?
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Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Support
How likely are you to recommend Here to Hear Australia to friends/family?
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Likely
Neutral
Unlikely
Very Unlikely
Recommend
How useful did you find the handouts provided?
Very Useful
Useful
Neutral
Not useful
Very not useful
Not applicable
Handouts
How likely are you to reach out for support from Hear Australia if needed in the future?
Very likely
Likely
Neutral
Unlikely
Very Unlikely
Future Support
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