Client Feedback form Birthing Advocacy
This form is a place for clients of Birthing Advocacy students or alumni who wish to share concerns about their care/interactions. Please note that BADT students operate their professional services independently from the organization and we are not directly responsible for their actions, however we take any concerns seriously and appreciate any feedback. Please keep in mind that this form will be viewable by all BADT staff members. We will review your submission as soon as possible. If you choose to leave your email address we will contact you directly. If you wish to remain anonymous please keep in mind that we will not be able to contact you for further details.
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Email Address
Your name
Date
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DD
/
YYYY
The name of the student or alumni you interacted with.
What services did this person provide for you?
What concerns do you have about this interaction?
What is the optimal solution for the experience you had?
What can BADT do to help?
Is there anything else we should know?
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