Continuing Care Whai Ora Feedback

  • Continuing Care Whai Ora Feedback

  • Thank you for taking the time to fill out this feedback survey. We value your input and the impact it will have on our service delivery and models of care. If you would prefer to provide verbal responses, please advise reception or your clinician and they will arrange this for you.

    The information you share is confidential, however the anonymous statistics will be collated to enable us to know that we are making a difference. The collated statistics may be shared with other stakeholders or funders and for marketing purposes. Unless you give us permission at the bottom of this form, it will not be shared with your clinician.

    This survey should only take you five minutes to complete.

  • Personal Details

    It is optional to fill out this section but if you would like us to contact you about anything, we do need to know who you are.

  •  -
  • Your age
  • Your gender
  • Your ethnicity

  • Continuing Care Involvement

  • How long have you been attending the Continuing Care Programme?
  • Which group do you attend?

  • About the group structure

  • Rows

  • About the groups

  • Rows
  •    

  • Clinical Experiences

  • Have you attended any 1:1 clinician sessions in the last six months?

  • About the working relationship with your clinician

  • Rows

  • About the results of working with your clinician

  • Rows

  • Peer Support Experiences

  • About your peer support experiences

  • Rows

  • Wellness Questions

  • What is different for you now compared to when you started at Hanmer Clinic? (Tick all that apply.)

  • Final Thoughts

  • Would you like a member of our team to call you to follow up on any concerns you have raised on this form?
  • Would you like your clinician to receive a copy of this form?

  • Please note that you are welcome to provide feedback to us at any time whether this be a compliment, complaint, or suggestion by using our Whai Ora Feedback Form which is available in various formats throughout the Clinic and on our website.

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