Can’t find what you’re looking for?
Was the assessor timely (i.e. arrived on time)
Did you understand the assessment process when it was explained to you?
Did you feel comfortable talking to the assessor?
While you were receiving the above service from SRS did you feel you were fully informed of what was happening?
Do you feel the assessor had a good understanding of your needs?
Was the assessor respectful in your home?
Do you think the assessor/therapist was culturally respectful?
Did the assessor talk to you about the consent form and did you understand this?
Thank you for taking the time to share your feedback with us. We always welcome feedback and would love to hear yours. We collect your feedback to help improve our service and follow up on any issues that you raise.
The form below will take around 5 mins to complete. Please be assured your information will be kept confidential and will in no way affect the support you receive from our service or from ACC.
Social Rehabilitation( IRA, Equipment, SNA, Single Discipline assessment)
Training for Independence Programme
I don’t know
Overall how would you rate your satisfaction with Specialist Rehab Services?
1= Very Dissatisfied, 10 = Very Satisfied
Please enter anything else you would like us to know.
Which age group are you in?
Which main ethnic group do you associate yourself with?
Other - please specify below
You may wish to share the following details:
©2014 Specialist Rehab Services Ltd • PO Box 537 • Silverdale • Auckland 0944 • Feedback Form Admin • Staff Forum