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At CBS we strive for excellence in all that we do and are committed to continuous improvement. Your feedback will help us to see what we are  getting right and where we can do better. 

You may choose to provide your responses anonymously, or provide your contact details at the end of the survey should you wish for us to contact you. All data that we collect will be de-identified. 

If you prefer to answer the survey by phone, or need any help, please contact Paul Dolzan, our Executive Manager for Risk, Compliance and Quality on 6208 6636.

Thinking about the your services please select the most suitable response for each statement using the scale 1-5, where:

5= always or strongly agree
3= neutral
1= never or strongly disagree

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* 1. My support staff are respectful 

5 always or strongly agree 3 neutral 1 never or strongly disagree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 2. My services are based on my needs

5 always or strongly agree 3 neutral 1 never or strongly disagree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 3. My services have assisted me to remain independent in my home 

5 always or strongly agree 3 neutral 1 never or strongly disagree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 4. I feel safe and supported to provide feedback or make a complaint 

5 always or strongly agree 3 neutral 1 never or strongly disagree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 5. My support staff provide a quality service 

5 always or strongly agree 3 neutral 1 never or strongly disagree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 6. My support workers are skilled

5 always or strongly agree 3 neutral 1 never or strongly disagree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 7. My support workers care for me in a professional manner

5 always or strongly agree 3 neutral 1 never or strongly disagree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 8. I have received a copy of my Service Agreement and/or Care Plan

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* 9. I review my plan and services with my Coordinator at least once per year

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* 10. I know how to provide feedback or to make a complaint to CBS

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* 11. I know I have the right to have another person represent me (including an advocacy service)

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* 12. I know how to contact my Coordinator

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* 13. Would you recommend Community Based Support to a family member or friend?

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* 14. CBS provide me with (select the most applicable)

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* 15. How would you rate your service from CBS overall?

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* 16. Can you please circle what type of funding you receive (if known)

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* 17. What do you like most about us?

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* 18. What do you like least about us? How can we improve?

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* 19. If you would like to discuss your feedback with us, please provide your name and phone number (or preferred contact method) and we will get in touch. Thank you for your feedback, we really appreciate your time

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