Skip to content
Home
About Us
Our Services
Accommodation
Group and Centre Based Activities
NDIS
IN-HOME AGED CARE
Contact Us
Korean 한국어
Korean 한국어
Feedback, Suggestions or Complaints.
We’d love to hear from you and take your feedback seriously.
"
*
" indicates required fields
What would you like to talk about?
*
Positive Feedback
Suggestions
Complaints
Exiting/Transitioning from Donum Dei Services
Would you like to identify yourself?
*
Yes
No
Name
Phone
Email
Exiting/Transitioning from Donum Dei Services
Participant/Client Name
*
Overall, how satisfied were you with Donum Dei?
*
Extremely satisfied
Satisfied
Neutral
Not satisfied
Not satisfied at all
How well did our services meet your needs?
*
Extremely satisfied
Satisfied
Neutral
Not satisfied
Not satisfied at all
Did you make gains towards your goals?
*
Extremely satisfied
Satisfied
Neutral
Not satisfied
Not satisfied at all
Reason(s) for Exiting/Transitioning from Donum Dei
*
Feel free to tell us more: (Exit/Transition)
Positive Feedback
Overall, how satisfied are you with Donum Dei?
*
Extremely satisfied
Satisfied
Neutral
Not satisfied
Not satisfied at all
How well do our services meet your needs?
*
Extremely satisfied
Satisfied
Neutral
Not satisfied
Not satisfied at all
Do we listen to you?
*
Yes
No
Sometimes
Are you making gains towards your goals?
*
Extremely satisfied
Satisfied
Neutral
Not satisfied
Not satisfied at all
Feel free to tell us more here:
Suggestions
Please list your suggestions here:
*
Please provide as much detail as possible, e.g. who, what, where, when, witnesses
Complaints
What would you like us to know?
*
Please provide as much detail as possible, e.g. who, what, where, when, witnesses
What would you like to happen?
*
Are you making the complaint on behalf of someone else?
*
Yes
No
Client Name
*
What is your relationship with them?
*
Does the person know you are making the complaint on their behalf?
*
Yes
No
Supporting Information
Drop files here or
Select files
Max. file size: 128 MB.
Consent
*
I acknowledge that the information provided in this form is correct.
CAPTCHA
Home
About Us
Our Services
Accommodation
Group and Centre Based Activities
NDIS
IN-HOME AGED CARE
Contact Us