Feedback Form
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Status
Service (variable)
Thank you for taking the time to contact us. Autism Queensland values your feedback as we aim at all times to provide the best services and supports possible to our valued clients.
About Me
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First Name
Last Name
Email
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Phone
I am
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A parent/guardian/carer
Advocate
Client
Contractor/supplier/service provider
Member of the public
Student
Volunteer
Other
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Additional Emails:
Please include email addresses of other people you wish to also receive the feedback responses.
Feedback Information
Please indicate the nature of this feedback:
Compliment
Complaint
Other Feedback
This relates to:
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AQ Client or student behaviour or actions
AQ Facilities
AQ Policies
AQ Processes
Child/Client Safety & Wellbeing
Privacy
Staff behaviour or actions
Other
Please specify in 1-4 words:
Please select the service/department (if known):
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1:1 Therapy
Administration
AQ Board
AQ School
Assessment and Diagnostics
Client Safety and Wellbeing
Client Services and Support
Community Access
ELT
Employment Services
Finance
Human Resources
Inclusion Services
Kindi
Lead Professionals
Marketing and Partnerships
Mental Health
PLDS
Positive Behaviour Support
Quality & Risk
Research
School Advisory Service (SDSS)
Supported Independent Living (SIL)
Technology
Therapy Groups
Vacation Care
Other
Please specify the location of service (if known):
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Banyulla
Brassall
Brighton
Brightwater
Cairns
Calamvale
Commodore
Coopers 3
External
Forest Lake
Gladstone
Gold Coast
Greenbank
Logan Reserve
Mackay
Manly West
Oxley
Rockhampton
Sunnybank
Telehealth
The Hub
Other
Names of clients/students involved (if applicable)
Names of staff involved (if applicable)
Detailed description of your feedback:
If your feedback is a complaint and it relates to a NDIS service, you can also contact the NDIS Commission directly on 1300 362 072.
Additional comments:
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Attachment 2
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Attachment 5
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