Brain Train Feedback Form

Brain Train Feedback

Who is filling out this form? *

Including your name and contact details below is optional, however we do require this information to be able to discuss your feedback with you.

Date that feedback was provided *

Staff Member Full Name *

Email Address of the person completing this form *

Your Full Name

Details of person who provided the feedback

Full name of person who provided the feedback to you *

Participant Name (if applicable)

Mobile Number

Email Address

Feedback Details

Centre that the feedback pertains to *

Type of feedback *

Did you inform the person what options are available to submit a written complaint? *

YesNo

Full details of Feedback *

Please include detailed notes of feedback with any relevant names and dates, as well as notes on anything you said to the participant/caregiver to make the experience as positive as possible for them. This may include providing them reasoning, acknowledging their concerns or suggestions, informing them of what action you will take and/or apologising.

Are there any further steps that need to be taken to action the complaint? *

YesNoUnsure

Please detail what you believe needs to be actioned to fully resolve the complaint *

Is a response required for this feedback? *

YesNo

Your Centre Manager will be notified of the feedback details as described above immediately, but please do reach out to them to provide any further context if required.

Receiving complaints can be really tough! If you feel you would benefit from a debrief after the interaction, please reach out to your Centre Manager, Client Services Manager or another member of Management that you feel comfortable talking to, we are here to support you!