Compliments & Complaints
Thank you for your time and interest in completing this feedback form on our services. Your feedback is greatly appreciated and we hope that this information will assist Explore & Soar in continually improving the service that we provide. All information provided will remain confidential and only be evaluated and interpreted by our management team. Please feel free to call us if you would like to discuss this further.

Phone: 0477 708 217
Email: admin@exploreandsoar.com.au
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Date of Feedback *
MM
/
DD
/
YYYY
Which best describes your feedback? *
Name of Client / Participant
Please share who this feedback is in regard to if you feel comfortable in doing so.
Please describe the service(s) you engaged in with Explore & Soar *
Include therapist name (if known), brief description of your compliment / complaint and date of interaction with Explore & Soar. 
Please rate your satisfaction with our Client Support Team and any interactions you have had with them
Our Client Support Team assist with intakes, phone calls, greeting you in clinic
Extremely Dissatisfied
Extremely Satisfied
Clear selection
Please provide details of your rating
Please rate your satisfaction with the therapy intervention you are receiving.
Extremely Dissatisfied
Extremely Satisfied
Clear selection
Please provide details of your rating
Please rate your overall satisfaction with Explore & Soar.
Extremely Dissatisfied
Extremely Satisfied
Clear selection
Please provide details of your rating
Please provide any further comments regarding your feedback 
Would you like to be informed of any outcome/s (if applicable) of this feedback? *
If yes, please provide contact details
Please include Name, Phone number and Email
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