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About Us
Untangling NDIS
Your Plan
Support Team
We Listen
Make a referal
We Listen
Participant Satisfaction Survey
We value your feedback. Your responses help us improve our services and ensure we meet your needs.
Participant Name (optional):
Date
Completed by
Participant
Family/Carer
Advocate
Support Coordinator (if known)
1. Your Experience with Chase the Sun
Please rate the following areas based on your experience over the past 6 months:
My Support Coordinator treats me with respect.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel heard and understood by Chase the Sun staff.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My Support Coordinator helps me work toward my NDIS goals.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel included in planning and decision-making.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Communication from my Support Coordinator is clear and timely.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I understand what supports are available to me.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel safe and supported when accessing services.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Chase the Sun responds to concerns or feedback appropriately.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I would recommend Chase the Sun to others.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
2. Open Feedback (Optional)
What do you like most about the service you receive from Chase the Sun?
Is there anything you feel could be improved?
Do you have any specific goals or areas you’d like more support with?
Do you have any specific goals or areas you’d like more support with?
3. Additional Comments
(You may leave this section blank if preferred)
4. Consent to Share Feedback
I consent to Chase the Sun using my feedback (anonymously) to help improve services.
I would like a staff member to follow up with me about my feedback.
Submit