FEEDBACK AND COMPLAINTS FORM HELIX SUPPORT SERVICES

Your honest answers will give us the opportunity to improve the level of service provided and improve your experience.

First Name *

Last Name

Email Address

How would you rate the experience with our organisation? *

1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

What was the reason for your rating?

How would you rate how your ideas and thoughts have been heard? 1=poorly 10=perfectly *

12345678910

Were your expectations met? *

YesNo

If no, what wasn't met?

How Would you rate your experience with our employees? *

1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

How was the Communication with us? *

1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

Can you see any way that communication can be improved?

How would you rate the quality of the work you are seeing? *

1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

Feedback or Complaint you would like to tell us about?

Have we missed anything that you feel would make your experience better?

Outcome (Please describe the outcome you would like to see as a result of your feedback or complaint)

Privacy Statement

We take your privacy seriously. The information you provide on this form will be used to investigate your feedback or complaint and improve our services. Your information will be stored securely and will only be shared with individuals who need to know in order to investigate your feedback or complaint. By submitting this form, you consent to the use of your information as described above.

Acknowledgment

I certify that the information I have provided on this form is truthful and accurate to the best of my knowledge.

Name *

Date *

Signature *

Draw signature|Type signatureClear

Please wait, files are uploading..