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hA Client Feedback Survey
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how do you feel about the slide show that is playing on the TV?
Delightful
Fabulous
Glorious
Cute
Stupendous
Iconic
Exquisite
Best
Breathtaking
Slay
Please Rate:
Slide
Next Question
what is your age?
-- Select --
-- Select --
12
13
14
15
16
17
18
19
20
21
22
23
24
25
-- Select --
12
13
14
15
16
17
18
19
20
21
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23
24
25
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how do you identify?
-- Select --
-- Select --
Cis Man
Cis Woman
Trans Man
Trans Woman
Non-Binary/ Non-Conforming
Not Listed
-- Select --
Cis Man
Cis Woman
Trans Man
Trans Woman
Non-Binary/ Non-Conforming
Not Listed
Next Question
how did you hear about headspace Armadale?
-- Select --
-- Select --
School/ University/ TAFE event or workshop
Friend
Family Member
GP or Healthcare Provider
Website/ Facebook/ Instagram
Community Event
Other
-- Select --
School/ University/ TAFE event or workshop
Friend
Family Member
GP or Healthcare Provider
Website/ Facebook/ Instagram
Community Event
Other
Next Question
what services at headspace Armadale did you like most? (tick all that apply)
Mental Health Counselling
Sexual health Nurse
Alcohol and Drug Services
Work and Study Website
Youth Reference Group
HQ Space (LGBTQIA+ Support Group)
How's Your HAAL? (Multicultural Conversation Group)
Next Question
which services do you think we could most improve on? (tick all that apply )
Mental Health Counselling
Sexual health Nurse
Alcohol and Drug Services
Work and Study Website
Youth Reference Group
HQ Space (LGBTQIA+ Support Group)
How's Your HAAL? (Multicultural Conversations Group)
Next Question
would you recommend headspace Armadale to a friend or family member?
Yes
No
why/ why not?
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how satisfied were you with the following at headspace Armadale?
Staff?
1
2
3
4
5
Services?
1
2
3
4
5
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how do feel about the layout/ style of the counselling rooms?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
how do you feel about the layout/ style of the waiting room?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
how would you rate the following spaces?
Waiting Room
1
2
3
4
5
Counselling Rooms
1
2
3
4
5
Information Wall
1
2
3
4
5
Bathrooms
1
2
3
4
5
Next Question
regarding the above spaces, what would you change about them?
Next Question
what other activities would you like to see at headspace Armadale?
Yoga Classes
Minfulness/ Meditation Classes
Creative Writing Classes
Art Studio
Mini Olympics (Indoor Sports)
Career Guidance
Wellbeing Workshops
Other
Next Question
any other activity suggestions?
Next Question
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