young people/family & friend feedback

As the lead agency for headspace Batemans Bay, Relationships Australia Canberra & Region (RACR) is committed to delivering high quality services.

We value feedback, including complaints - we believe they can help us improve.

You can use this online form below to let us know what we did well or what we could do better. Please tell us in the form if you need some support to make a complaint.

Alternatively, you can provide feedback, lodge a complaint or check on the progress of an existing complaint by emailing feedback@racr.org.au
Or call us on 1300 364 277 and ask to speak with one of our managers.

If you are making a complaint, we will take this seriously and we will contact you within 5 working days. We will not treat you differently because you have made a complaint. Your information will be kept confidential and only shared with those who need to know to investigate your complaint. We respect your privacy and will use and store your information as outlined in our privacy policy.

What would you like to do? *

give feedbackmake a complaint

Tell us about you

First Name *

Last Name

Email address

Phone number: *

Preferred method of contact *

EmailPhone

Do you need support to complete this form or to speak with us? *

YesNo

What type of support would make this process easier for you?

Who would you like to support you?

If you need an interpreter, which language?

What is the name of your support person?

Would you like someone to speak on your behalf?

YesNo

What is the name of the person you give permission to speak on your behalf?

Why did you come to headspace?

Who do you see at headspace?

Tell us about your experience

Who or what are you happy/unhappy about? (please give details of your experience including when, where and who was involved)

What would you like to happen next? (if you are unhappy and making a complaint, what would make you happy?)

Does your complaint involve anyone else or was there a witness?

YesNo

First and last name of other person

Phone number of other person

Email address of other person

Details of how this person was involved

Add another person?

YesNo

First and last name of second person involved

Phone number of other person

Email address of other person

Details of how this person was involved

Decalaration

I confirm that the information provided is true and complete
*

I understand that the information I have provided will be seen by staff managing the feedback or complaints process. *