Consumer Feedback

Thank you for taking the time to provide us with your feedback. Swan Hill District Health values your feedback and would like to hear ‘Your Story’.

If you have had a good experience please take the chance to thank those who have helped you, everyone likes to know they are doing a good job.

If there were things that you didn’t like or something that you feel could be improved, please let us know so we are aware of it and can ensure Connect Care, Best Experience for all.

Swan Hill District Health is also on Care Opinion if you want to supply a more in depth feedback

Do you have a compliment or complaint about your care at Swan Hill District Health?

Compliment

Complaint

Date feedback lodged?

Date feedback relates to?

Name of patient that feedback relates to (optional)

Relationship to patient

Contact Information (optional)

First Name

Last Name

Phone

Email Address

Would you like to be contacted in relation to this feedback?

Yes

How satisfied were you with the following?

	Very dissatisfied	Not satisfied	Neutral	Satisfied	Very satisfied	N/A
Medical/Nursing Communication	Very dissatisfied	Not satisfied	Neutral	Satisfied	Very satisfied	N/A

Quality of service	Very dissatisfied	Not satisfied	Neutral	Satisfied	Very satisfied	N/A

Provision of information/explanation of care	Very dissatisfied	Not satisfied	Neutral	Satisfied	Very satisfied	N/A

Food provision	Very dissatisfied	Not satisfied	Neutral	Satisfied	Very satisfied	N/A

Professionalism of staff	Very dissatisfied	Not satisfied	Neutral	Satisfied	Very satisfied	N/A

Please rate your experience

PoorBelow averageAverageGoodExcellent

Please rate how empathetic to your needs the staff were

Please rate how happy you are with the doctor’s treatment

Please rate how well we explained the evaluation and treatment

Please rate how easy it was to navigate to your destination within our facility

How would you rate us based on our concern for your privacy and transparency

How would you rate the cleanliness and hygiene at our medical facility

What things did we do well?:

What things can we improve on?

Please provide any further comments/suggestions:

If you remain dissatisfied with our response, you may contact the Health Complaints Commissioner (HCC). The HCC responds to complaints about health services and the handling of health information in Victoria. Their service is free, confidential and impartial. To lodge a complaint with the HCC:

Fill out a complaint form online via the Health Complaints Commission website

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