Name: Independent Living Centre Tasmania
Price range: $

Client Satisfaction Survey

Although this information is not required, we would like to know your name.

First Name

Last Name

Please enter your phone number so that we can speak to you about your feedback.

Telephone number

Please enter your email so we can reply to your feedback and send you a copy of your responses.

Email address

I would like to be contacted about my feedback

Age *

18-49

50-64

65+

In what age bracket do you belong?

Location *

Which area of Tasmania you live?

North

South

Northwest

Services *

Which services were received?

The explanations by staff about my assessment, intervention and support choices were thorough and communicated clearly

If there is one thing we could do to improve, what would it be?

What else would you like to tell us about?