Please take a moment to fill out our form, which is completely private and confidential – Thank You
First Name (Optional: You may fill in your feedback form anonymously.)
Last Name (Optional: You may fill in your feedback form anonymously.)
Your email (Optional: Providing an email will allow us to respond personally.)
Are you satisfied with the outcome of your situation/issue? (Required) YesNoI'm not sure
Do you feel that your Advocate provided enough support? (Required) YesNoI'm not sure
Did your Advocate keep you fully informed about your situation/issue? (Required) YesNoI'm not sure
Did your Advocate explain options to help your situation/issue? (Required) YesNoI'm not sure
Did your Advocate help you to make your own informed decisions? (Required) YesNoI'm not sure
Did you feel your privacy was respected and you were treated in a respectful manner? (Required) YesNoI'm not sure
Did your Advocate explain that Action's policies, including the complaints policy, were available to you at any time? (Required) YesNoI'm not sure
If any of your friends need assistance, would you recommend Action? (Required) YesNoI'm not sure
Comments
Starts with You