Feedback Form

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Please indicate your agreement with the following statements:

What was good about your experience?
Was there anything that could have improved your experience?
Your feedback can be anonymous, but if you would like to leave your name and contact details, we will acknowledge your comment and can let you know our response to your suggestion or comments.
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Strongly agree

Strongly disagree

Don’t know or not applicable

I was treated with dignity, respect, kindness and caring

I felt involved in decisions made about my care

I had confidence and trust in the staff looking after me

I was satisfied with the support I received

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