Phoenix Wings Wellness- Have your say!
Please help us improve our services through valuable honest feedback
Name
First Name
Last Name
Name
First Name
Last Name
Gender
Male
Female
Trans Man
Trans Woman
Non-binary
Intersex
Other
Prefer not to disclose
If other, please specify
Pronouns
She/Her
He/Him
They/Them
Other
If other, please specify
Post code
Please indicate what communities you identify with, if any:
LGBTIQ+
Neurodivergent
Disability (Physical, intellectual, and/or mental)
Aboriginal/Torres Strait islander
CaLD (Culturally and Linguistic Diverse)
Other
If other please specify
How are you involved in our service
Current client
Past client
New client awaiting services
Past client seeking services
What service did you access
Individual counselling
Couples counselling
Family counselling
Group work
Support work
Other
If other please describe
How did you financially access the service
Self funded
Agency funded
NDIS
Mental Health Care Plan
Other
If other please describe
Did you feel the service met your expectations
Not at all
1
2
3
4
5
6
7
8
9
Very much so
10
1 is Not at all, 10 is Very much so
Overall what areas improved for you during your time with Phoenix Wings Wellness? (please tick all that apply to you)
Reduced anxiety
Reduced depression
More socially connected
Better access to community
Increased access to resources
Sense of belonging
More connected and aware of inner strengths/resources
Exploring and understanding your values
Increased awareness of my child/spouse/family
More control over my emotions/reactions
Increased self care
Better daily routines
Living skills (budgeting, social skills, utilising public resources such as public transport etc)
Ability to be myself authentically
Can identify with my spiritual or cultural beliefs
Permission to exercise my religion without judgement
Ability to use preferred pronouns/gender identity
Accepted and supported to access services regardless of my disability
Other
If other please describe
Please indicate the options that apply to your experience
I felt safe
I felt heard
I was able to use my voice
I was able to make my own decisions
I felt respected
I felt included
I felt accepted for who I am
I felt i could express my opinions and needs
Other
What other services or programs would you like to see Phoenix Wings offer? Please be specific.
How likely are you to recommend us to family or friends
Not at all
1
2
3
4
5
6
7
8
9
Very much so
10
1 is Not at all, 10 is Very much so
Where did you hear about us
Website
Facebook
Instagram
Other community health service
GP or medical professional referred
Family/friends
Word of mouth
Other
If other please specify
Please provide us any general comments or feedback that is important to you
Thank you for your feedback
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