Feedback Form

Name of person completing this form

What is your age group?

Ethnicity

Type of assessment received

Team member who saw you

How satisfied are you with the overall service provided by our occupational therapy and driving assessment team?

Was the information provided to you before and during the assessment clear and easy to understand?

How would you rate the interaction and communication skills of your occupational therapist?

Did you feel that the occupational therapist treated you with respect and sensitivity?

How would you rate the thoroughness of your assessment?

Were the results and recommendations of the assessment explained to you in a way that you could understand?

Do you have any suggestions on how we can improve our occupational therapy and driving assessment services?

Is there anything we could have done better to meet your cultural needs?

Is there anything else you would like to share about your experience with our services?