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LLE Representative Feedback Form

This form was developed by Lived Experience Australia in collaboration with people who have lived and living experience. It sits within the Brisbane North PHN Lived Experience Representative Lifecycle Kit—a practical tool that supports every stage of a Lived Experience Representative’s journey with our PHN.

As outlined in the Brisbane North PHN Engagement and Partnering Framework, engagement is an ongoing process, and it’s important we regularly check in on how we’re doing. The framework reminds us that:


“Effective engagement and partnering is an ongoing process, therefore it is important to continually evaluate the extent to which the PHN is maximising outcomes as a result of engagement and partnering.”


That’s where this feedback form comes in. It offers a structured way to reflect on what’s working well and where we can do better. By reviewing the feedback we receive, we can better understand the quality of the engagement experience and identify what changes or improvements might be needed for next time.

This commitment to listening, learning, and improving together is what helps us build stronger, more meaningful engagement over time.

If you have any questions about the form or would like to chat with someone, feel free to reach out to us at mhsp@brisbanenorthphn.org.au.

Maximum 255 characters

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Maximum 255 characters

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Please rate your experience of the following:

3.  

The purpose of the engagement activity is/was well defined

Statement 1

Maximum 255 characters

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5.  

I understand/understood my role and contribution in the engagement activity

Statement 1

Maximum 255 characters

0/255

7.  

I feel/felt listened to, my voice was heard

Statement 1

Maximum 255 characters

0/255

9.  

Communication is/was respectful

Statement 1

Maximum 255 characters

0/255

11.  

I am/was kept in the loop regarding updates and feedback

Statement 1

Maximum 255 characters

0/255

13.  

I feel/felt the issues that matter to me were addressed

Statement 1

Maximum 255 characters

0/255

15.  

I feel/felt safe and supported in the engagement activity

Statement 1

Maximum 255 characters

0/255

17.  

I feel/felt the engagement activity is/was progressing towards stated goals/objectives

Statement 1

Maximum 255 characters

0/255

19.  

I feel/felt that my input is/was embedded in the work

Statement 1

Maximum 255 characters

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Considering the process from when you first heard about the engagement activity to now:

23.  

I would like someone to contact me to discuss my feedback further