Client Feedback-TeWharePuteaTrust

First name

Email

Service(s) used:

How would you rate us?

Please answer the following by ticking the appropriate box, and feel free to add your own words.

The staff’s efforts to help you at a time suitable to you.

Excellent

Average

Poor

Providing clear information to assist you.

Excellent

Average

Poor

Listening to you.

Excellent

Average

Poor

Treating you with dignity and respect.

Excellent

Average

Poor

Overall, how satisfied were you with our service?

Excellent

Very Good

Average

Poor

For our information and statistics Please answer the questions by ticking the box or boxes which apply to you.

Age Bracket

Gender

Male

Female

Gender Diverse

Rather not say

Ethnic Group

NZ European

NZ Maori

Other

Please add any comments or suggestions you wish to make:

We can only make our best effort to improve services if we know what you really think. Thank you for your honest response.