Feedback Form
We appreciate any and all feedback! Please help us to improve ourselves by completing the feedback form below.
Your Role
Participant
Parent/ Guardian/ Nominee of Participant
Support Worker
Allied Health Worker
Would you like your feedback to be Anonymous?
Yes
No
Your Name
First Name
Last Name
Please rate your overall experience with Squared Away (including your services/ support workers/ job satisfaction)
1
2
3
4
5
1 Star - Not satisfied at all 5 Stars - Very satisfied
Please comment your feedback below
Do you have any suggestions or comments for us to improve our services?
How likely will you recommend us to your friends/ family/ other people?
Absolutely not!
1
2
3
4
Definitely!
5
1 is Absolutely not!, 5 is Definitely!
Submit
Should be Empty: