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  • Triage Experience 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 two to three 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.

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  • Initial Experiences

  • About the clinic environment

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  • About the triage experience

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  • Final Thoughts

  • 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 Whaiora Feedback Form which is available in various formats throughout the Clinic and on our website.

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