Feedback history

Feedback Details

Concise language to describe the risk or opportunity for improvement

Type of feedback*

Praise Suggestion Complaint

Which service does this feedback relate to?*

Not related to specific service

Feedback information*

Would the person providing feedback like to speak to someone about it?

Yes No No, remain anonymous

Who’s giving the feedback?

First name*

Last name*

Relationship to the service/organisation*

Phone number*

Email address*

Room number*

Other*

Are you making this feedback on behalf of someone else?

No Yes

Enter details for this person

Would you like the service to contact this person directly?

Yes No No, remain anonymous

First name*

Last name*

Their relationship to the service/organisation*

Phone number*

Email address*

Room number*

Other*

Would you like this feedback to remain confidential?

Yes No

Reason for confidential change*

Privacy Statement

https://allaboutliving.com.au/privacy-policy-2/

I understand and agree to the Privacy Statement

Selecting yes means your identity will be known to our organisation but will only be shared with the relevant personnel handling your feedback or complaint. This may include the complaints officer, senior management, or other necessary staff involved in resolving the issue.

We will take all reasonable steps to protect your identity and will not disclose your details to others without your consent, unless required by law (e.g., in cases of serious risk or harm).

If you prefer to remain completely anonymous, please select the Anonymous option instead.

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