"providing individual and systemic advocacy to improve life for people who have a disability"

Evaluation Form

Advocacy for Inclusion would appreciate your assistance by completing this evaluation form.
We value your ideas and suggestions in helping us to improve our service.
All information received is confidential, and you can remain anonymous.
If you would like to discuss any issues further with Advocacy for Inclusion please include your contact details.

Name:
Email:
Contact Phone Number:
1. How did you find out about Advocacy for Inclusion?
2. Was Advocacy for Inclusion easily accessible? Physical Location/Access? Staff Availability/Contact?
3. Was your contact with Advocacy for Inclusion beneficial and supportive? Did we meet your needs?
4. What part of the service did you find most valuable? (e.g. information, someone to talk to, assistance in sorting out issues, other?)
5. Did you feel that your privacy, dignity and confidentiality were respected by Advocacy for Inclusion?
6. In what ways do you see the input from Advocacy for Inclusion assisting you with solutions and ideas in relation to your enquiry?
7. Do you believe that you were given the opportunity to raise any complaints or concerns in relation to your contact with Advocacy for Inclusion?
8. Do you have any suggestion/s for improving the service of Advocacy for Inclusion? If so in what areas?

"working with people who have a disability, families, friends and others for a more inclusive society"

Last updated 15 June 2006
Advocacy for Inclusion Inc

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