Feedback & Complaints Form We value your feedback and are committed to continuously improving our Low Risk Home Maintenance services. Please use this form to provide feedback, make a complaint, or suggest improvements. Full Name * Email Address * Phone Number * NDIS Participant Name (if different) Relationship to Participant ParticipantFamily MemberCarerSupport CoordinatorPlan ManagerAdvocateOther Type of Feedback * ComplimentFeedbackSuggestionComplaint Service Received * Low Risk Home Maintenance AuditProperty InspectionSafety AssessmentMaintenance RecommendationGeneral Service Date of Service Auditor or Staff Member (if known) Subject * Please provide details * How satisfied were you with the service? Very SatisfiedSatisfiedNeutralDissatisfiedVery Dissatisfied What outcome would you like? Would you like us to contact you regarding this matter? * [radio* contact-request use_label_element default:1 "Yes" "No"] Preferred Contact Method PhoneEmail Upload Supporting Documents (optional) [acceptance* privacy-policy] I confirm that the information provided is accurate and I consent to the collection and use of my information for the purpose of managing feedback and complaints.