Purple patch therapy

FEEDBACK FORM

Feel free to send us
some feedback

Client and Family Survey

What is this survey for?
The information you give to Purple Patch Therapy when completing this survey will be kept by Purple Patch Therapy. It will be used to provide feedback to staff for their development and to improve our services. 

Do I have to do this survey?
Completing this survey is voluntary, you do not have to complete this and there will be no consequences if you decide not to.  For example, you will still be able to receive services from Purple Patch Therapy if you decide to say no to completing this survey. 

Do I have to put my name or my family member’s name down?
You can complete this survey anonymously by not filling in your name or your family member’s name at questions 1 and 2. 

Is this information held confidentially. 
The survey information from all the responses can be put together in one report to show the trends in the feedback, but when this is done, all identifying information about you or your family member is hidden and not shown. 

Will the staff member know who gave the feedback?
If you put your name or your family member’s name down, the staff member will know who gave the feedback.  The Purple Patch Therapy managers who will show the survey to the staff member will help them to understand that feedback is valuable and improves services.  There will be no consequences if you provide feedback about improvements that can be made by the staff member, or about Purple Patch Therapy.  For example, our staff won’t be upset with you about this, we are very welcoming of feedback and help staff to feel the same. 

Who will see the information I give?
These reports are used to show the NDIS Quality and Safeguards Commission for auditing purposes and used by the management team to improve service quality. No one else will see the survey information. 

Where is the survey information stored and is it safe?  
The information is stored in the cloud on the Survey Monkey servers. Survey Monkey has strict privacy rules, and all data is encrypted so it cannot be read by others. 
3. You are
6. Service /s recieved from Purple Patch Therapy?
Thank you for your feedback. We genuinely welcome opportunities to learn and grow and your feedback will help us assist you.

Feel free to send us
some feedback

Client and Family Survey

Feedback or complaint in relation to:
If feedback not in list please provide information.
Please let us know below how you felt about the support provided.
This feedback can remain anonymous but if you wish to be contacted about this feedback, please leave your first name and phone number below.
Thank you for your feedback. We genuinely welcome opportunities to learn and grow and your feedback will help us assist you.
Scroll to Top

Leave us some positive feedback!

Please enter your email, so we can follow up with you.

Let us know how we can improve!

Please enter your email, so we can follow up with you.