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ABOUT
About Us
Our Purpose
Meet Management
Wellbeing
Gallery
Testimonials
Careers
COVID-19
NDIS
SERVICES
Book A Catch Up
FORMS
Referral
Service Agreement
Complaints
Submit Feedback
Job Application
Event Registration
CONTACT
BLOG
More
Use tab to navigate through the menu items.
SHOP
ABOUT
About Us
Our Purpose
Meet Management
Wellbeing
Gallery
Testimonials
Careers
COVID-19
NDIS
SERVICES
Book A Catch Up
FORMS
Referral
Service Agreement
Complaints
Submit Feedback
Job Application
Event Registration
CONTACT
BLOG
More
Use tab to navigate through the menu items.
Client Feedback Form
NDIS Participant's Name
Parent / Carer / Representative
Email Address
1. How likely is it that you would recommend Independent Living Care (ILC) to a friend or colleague?
*
Extremely Likely
Very Likely
Somewhat Likely
Not At All Likely
2. Overall, how satisfied or dissatisfied are you with ILC?
*
Extremely Satisfied
Very Satisfied
Somewhat Satisfied
Very Disatisfied
3. How well does our service/s meet your needs?
*
Extremely Well
Very Well
Not So Well
Not At All Well
4. How well did we address your questions or concerns regarding NDIS?
*
Extremely Well
Very Well
Not So Well
Not At All Well
5. Overall, how would you rate our team members?
*
Very Friendly & Approachable
Somewhat Friendly & Approachable
Unfriendly & Unapproachable
6. How punctual are your service deliverers?
*
Extremely
Very
Not Very
Not At All
7. How professional are service deliverers?
*
Extremely
Very
Not Very
Not At All
8. Were you a participant of NDIS prior to using ILC services?
*
Yes
No (If no, skip to question 8)
9. If ILC assisted you with pre-planning, how would you rate this support?
*
Extremely Satisfied
Very Satisfied
Somewhat Satisfied
Very Disatisfied
10. What services are delivered to you by ILC?
Do you have any comments or suggestions regarding the services we deliver to you?
11. What best describes your experience with ILC’s operating software Brevity?
*
Not Applicable
Easy to understand and navigate
Easy to understand and navigate
Difficult to understand and navigate
Do you have any comments or suggestions regarding Brevity app?
12. How likely are you to use our services again?
*
Extremely Likely
Very Likely
Somewhat Likely
Not At All Likely
Do you have any other comments, questions or concerns?
Submit
Thanks for submitting!
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