Welcome to NORSACA

Norsaca Feedback Form

We continually aim to improve the services we offer to people affected by autism. We therefore welcome any feedback, complaints or compliments you may have about our work.

Please help us monitor and evaluate the effectiveness of your recent contact with our office by completing this evaluation form.

If you are willing to be contacted for further discussion, please include your name and telephone contact number .

n.b You must include your email address to be able to submit the form.

Thank you

Was the telephone answered quickly (within 4 rings)?	Yes No

Was the person who answered the phone helpful?	Yes No

Did you feel that your requirements were fully understood?	Yes No

If not, were you offered the opportunity to speak with a more experienced member of staff?	Yes No
Were you satisfied with this?	Yes No

If you were offered the opportunity to speak to a more experienced member of staff, was this immediately or by appointment?	Immediately Appointment
Were you satisfied with this?	Yes No

Is the information you were provided relevant/appropriate to your needs?	Yes No
Please tell us how relevant to your needs?
Completely relevant Partly relevant Partly irrelevant Totally irrelevant

Were you satisfied with the information sent?
Satisfied Neither satisfied or unsatisfied Unsatisfied

Any additional comments?

Do you have any comments on our website?

Your name

Your telephone number

Your email address*

* Required field

Click 'send' to submit the form. If you do not wish to submit the form then click here to return to the NORSACA website