Patient feedback

We appreciate receiving feedback from patients. It is important that we understand how our patients really feel about the service and support they receive.

You might have some suggestions about how we could improve the level of service we provide patients.

We value this feedback because it can really make a difference to the level of care and support we provide our patients.

There are two ways you can provide feedback:

  • Fill in the Feedback Form below, and submit
  • Complete the paper form available at our Reception, and hand it in while you are at The Vitiligo Centre Australia – or post it to us at the address shown on the form

To enable us to investigate all feedback issues your identity is required but your feedback will certainly not affect the level of your care. In fact, it often goes to improving the level of care for all our patients, including you.

Date of visit

Doctor Visited

How to complete this form

Please select the number on the scale that indicates your satisfaction with the level of service received, with 1 being very dissatisfied/poor and 5 being very satisfied/excellent.

Appointment and Reception

How satisfied were you with:

The ease of making an appointment

12345

The information that was provided

12345

Our People

How do you view the level of service received?

Our reception staff were knowledgeable and courteous

12345

Our nursing staff were knowledgeable and courteous

12345

Our Service

How do you view the level of service received?

The time spent in our waiting area

12345
The information provided to you during your consultation was relevant

12345

The service provided to you during your consultation met your expectations

12345

The service provided by the nurse met your expectations

12345

The service provided by the doctor met your expectations

12345

Satisfaction

How satisfied were you with:

Our facilities

12345

Your overall experience

12345

Exceptional Service

Is there a particular staff member or process worthy of a special mention?

YesNo

Would you recommend us to your friends & family?

YesNo

Any other comments

Your details