Client feedback form

Please complete relevant sections.

Your Name:

Email:

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How would you like the contents of this form to be used?
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What complaints and criticisms do you have (if any) and how can we improve our service?

Please describe your experience receiving treatment from us and benefits or detrimental effects experienced:

Based on your experience, would you recommend people struggling with feelings of anxiety, depression or destructive thought patterns try Mind Relaxation Australia and what would you say to them?

Where would you rate us between 1 and 5 stars?
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