Gunditjmara Aboriginal Cooperative Ltd
IONMY PUBLICLY AVAILABLE SURVEY
Welcome,
Anonymous
Please complete and submit the survey below. As this survey is publicly submitted, you cannot make changes after you have Saved.
Submit
Cancel
SURVEY
:
Gunditjmara Health Service Survey
PERSON COMPLETING:
(leave blank to submit anonymously)
EMAIL:
Site Survey relates to
Banyan St Medical Clinic
Date completed
Gunditjmara Aboriginal Cooperative conduct a number of surveys in all our programs every year. We do this specifically to obtain your deadly feedback, ideas and comments about our services (we even want your deadly complaints). We want to know what you think of our services so we can make the changes you would like to see happening in your Community. We can't thank you enough when you give us feedback on how we can be better at what we do! We use your feedback to help us to make improvements in the way we provide assistance. When the improvements are in place, we send out another survey that is often very similar to the first survey. This is no mistake, but part of our Quality plan for Gunditjmara Aboriginal Cooperative Limited.
Please rate each of the following statements from 1 to 5. 1 Not deadly (completely disagree), 2 Sort of Deadly (somewhat disagree), 3 Neither agree nor disagree, 4 Deadly (agree), 5 Too Deadly (strongly agree), N/A If you feel the question is not applicable to you, DK If you do not have enough information to provide an answer
1. It was easy to find the service?
1
2
3
4
5
N/A
DK
2. The information about the service matched my service delivery experience.
1
2
3
4
5
N/A
DK
3. The wait time for service was reasonable.
1
2
3
4
5
N/A
DK
4. The service provision and cultural supports were flexible and responsive.
1
2
3
4
5
N/A
DK
5. The staff have high levels of skills and expertise.
1
2
3
4
5
N/A
DK
6. The service actively involves my carer and other family members of my mob.
1
2
3
4
5
N/A
DK
7. Service planning includes consideration of my language and cultural needs.
1
2
3
4
5
N/A
DK
8. I am supported and encouraged to participate in my service planning.
1
2
3
4
5
N/A
DK
9. I am encouraged and supported to be involved in the service's activities.
1
2
3
4
5
N/A
DK
10. I have been supported to connect with other community organisations and services.
1
2
3
4
5
N/A
DK
11. There are good feedback and complaints processes in place.
1
2
3
4
5
N/A
DK
12. I would recommend this service to other mob.
1
2
3
4
5
N/A
DK
13. What do you like most about Gunditjmara?
14. What do you like least about Gunditjmara
15. What suggestions do you have about ways that we could improve our service/s?
16. Do you have any other comments?
17. Would you like someone to contact you regarding the feedback you have provided on this survey?
Yes
No
18. If you answered yes to Q17 please provide contact name and contact phone number
to Top