Online feedback form for Dementia Environmental Audit

Your feedback is important in assisting us in reviewing the Dementia Environmental Audit your RACF has received delivered by Dementia Australia funded by Brisbane North PHN.

Your participation is voluntary, the information provided will solely be used for the purpose of this project and only aggregated results will ever be reported. If you have any queries in relation to this survey, please contact, Brisbane North PHN on 3630 7382 or agedcareprojects@brisbanenorthphn.org.au. 

This survey should take approximately 10 minutes to complete.  

RACF Name

* required

Maximum 255 characters

0/255

RACF Contact person

* required

Maximum 255 characters

0/255

How did you find the auditing process?

* required

The written report was helpful? (please explain)

* required

The written report was easy to follow (please explain)

* required

Have you implemented any of the recommendation? (Y/N) please explain further.

* required

Are there any recommendations that you are planning to implement in the future? (Y/N) please explain further.

* required

Would anything else have been supportive or helpful?

* required

Would you recommend the Environmental Audit to other RACFs?

* required

10.

What was the most valuable aspect of the audit?

* required

11.

Do you have anything else you would like to share?