Wellbeing at Swinburne

Client Feedback Form

Wellbeing at Swinburne strives to serve you better and we are committed to continually improving our patient/ client service standards. In order to help us improve our service, we invite you to let us know what you think using the following form.

Fields marked with an * are mandatory.

    How did you engage with Wellbeing at Swinburne?*

    How did we provide the service to you?*

    How satisfied were you with: Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied
    I was able to see a Doctor/Nurse/Mental Health Nurse quickly when I needed to
    Level of courtesy and professionalism of Wellbeing at Swinburne staff
    I was treated with respect and dignity
    Information provided by Wellbeing at Swinburne regarding my visit
    The time taken to deal with your concern
    The overall service provided to you
    Did you feel your issue was addressed on this visit

    Did you experience any difficulty accessing Wellbeing at Swinburne?*

    Would you recommend the service to others?*

    Your details (optional)

    Would you like to be contacted about your feedback?*

    Preferred contact Method*

    Please provide any additional comments you may wish to add

    Disclaimer: Any information you provide to us is voluntary. We will take all reasonable steps to ensure your information is protected from modification, misuse, disclosure, loss and unauthorised access. Remember that no internet transmission is ever completely secure or error-free. Swinburne will not be held responsible for events arising from unauthorised access to your information.