PPASI
PPASI

Thank you for visiting and/or using Pacific Peoples’ Addiction Services Incorporated (PPASI) services. Our aim at PPASI is to give our clients and their Family/Whanau, and Significant Others the best quality service that we can offer, which may add to their wellbeing and the betterment of our community as a whole. Thus, we would very much appreciate your feedback on the services you received to help us improve future service delivery.

Please take a few moments to answer the questions below and return the form either by Email to ned.ppasi@xtra.co.nz or by post to PPASI – service feedback, PO Box 19358, Hamilton, New Zealand. Please be assured that your feedback will remain confidential.

In addition, if you wish to see someone in person regarding your feedback and/or make a complaint, please feel free to contact the office and request an appointment and/or the related complaints procedure and forms from the Operations Manager at 556 Anglesea Street, Hamilton or you may call Ned Cook on 07 834 2964, mobile 027 280 5338 (anytime after hours).

OPTIONAL

You may wish to make this an anonymous feedback. However, please bear in mind that if that is the case, we may not be able to get back to you with any response regarding the potential changes we may have made in our services as a direct result of your feedback.


Your Name

Postal Addres

Phone Number

Email

     


Please rate the following by placing a tick in the relevant boxes:
 
Excellent
Good
Fair
Poor
Comments
Content of the interaction, and/or clinical sessions
Quality of interaction and/or clinical sessions
Venue – access and other issues
Location
Staff offering the service
Helpfulness of staff
Over all service offered
 
 
Yes
No
The general length of time to get an appointment was too long.
The general length of time to get an appointment was just right.
The general length of time to get first contact by phone was too long
The general length of time to get first contact by phone was just right
General length of the referral process was too long
General length of the referral process was just right
Did the service meet your expectations?
Did you attend any treatment through assessment, counselling and/or education sessions?
If no, did you attend training?
General enquiries?
General visit?
Why do you think it is a good idea to have a “FEEDBACK” form in place?


What did you like about the service(s) you received?


What would you like to see change or are there any additional comments you wish to make?

     

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