Carfi Compliment and Complaints Form

Our service is committed to providing high quality care and services and meeting our client’s needs. We value your feedback, complaints and compliments as they help us improve our service. We are committed to handling communication about us fairly and effectively. Please let us know what we do well and where we can improve our services.

Privacy

Carfi is committed to protecting your privacy. We collect and handle personal information that you provide on this feedback form for the purpose of investigating and responding.

Carfi will only use your information in accordance with relevant privacy and other laws. In order for us to provide services to you effectively and efficiently, we may need to share your personal information with others, that deals only with the matters identified in your complaint.

If you choose to remain anonymous, Carfi may be unable to deliver the full range of services you require.

Type of feedback *

ComplimentComplaintFeedback

Do you wish to remain anonymous? *

Yes No

First Name

Last Name

Phone Number

Email Address

Details of the service

Please provide details of the service that the feedback concerns:

Name of service *

Carfi office location of service *

Details

Please provide details of your compliment, complaint or feedback. Please include what events led to you making this submission, approximate dates and who was involved. *

Actions Taken

Have you discussed your concerns with the service provider or another agency or person for assistance with these concerns? *

YesNo

If YES, with whom and what was the outcome? *

Outcome

What outcomes would you like as a result of providing your compliment, complaint or feedback? *

Would you like to be contacted about your submission? *

*