Complete Choice

0414 890 464 / 0466 057 770

39 John St, Salisbury, SA 5108


Client Surway Form


  1. Complete this form 
  2. Forward with information to our Complaint Manager via stamp self-addressed envelope provided at your intake.  If you do not have this envelope, then please feel free to contact us by:
Postal Address  23 Kent Road Macdonald Park SA 5121
Name (Optional)
Name (Optional)

Complaints & Satisfaction Surveys in Relation to People with a Disability 

Respondents should be told what the survey is about and what it aims to achieve. They should be assured that their opinions are valued but that their responses will remain confidential and cannot be traced back to them. This encourages people to participate and be honest and open in their responses without fear of retribution. 

Q. How would you rate the staff for their willingness to help you with your needs ?
Q. How satisfied were you overall with the service provided?

Who is the person, or what is the service, about whom you are complaining or providing feedback about

Does the person know you are making this complaint/providing feedback?

Maximum file size: 5MB