Easecare Feedback Compliment and Complaints Form

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Your feedback will be formally acknowledged within two working days. We aim to respond to all complaints and grievances as quickly as possible, and within 28 days from acknowledgement.
All feedback and complaints will be used by Easecare to continuously improve our service delivery.
Thank you for taking the time to provide feedback about our service.

This is a

Compliment

Complaint

Comment

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I am a

Participant

Family Member

Participant Representative

Staff Member

Staff member on behalf of a participant

Other:

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Please tell us about your experience at Easecare

How satisfied were you with the Service? *

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Very much

How relevant and helpful do you think support worker was for your requirements? *

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Very much

Please rate your experience with Easecare

Poor

Excellent

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Would you like us to follow up with you on your feedback

Yes

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Please share your ideas or suggestions with us *

Full Name

Phone Number

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