Feedback and Complaints Form
Parent/Carer Full Name (Optional)
First Name
Last Name
Email Address (Optional)
example@example.com
Mobile Number (Optional)
Reply Request
*
By Phone
By Email
Do Not Contact Me
Type of Feedback
*
Commendation
Suggestion
Improvement
Quality of Service
Customer Service
Complaint
Other
What does your feedback relate to?
*
Lesson delivery
Administration
Incident
Staff member
Venue
Other
Date of Incident (if applicable)
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Place of incident (if applicable)
Comments
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