Complaint / Feedback – Active Care Disability Services

ACDS - Complaint / Feedback Form:

Complaint / Feedback?

Provide feedback about our services / support workers!
Leave a complaint about our services

Please select what matches your current relation to Active Care Disability Services: *

Details of the Person who is providing feedback / making a complaint:

First

Last

If you wish to stay anonymous, you can leave this field blank.

Address

If you wish to stay anonymous, you can leave this field blank.

Phone Number

If you wish to stay anonymous, you can leave this field blank.

Who is the person, or the service about whom you are complaining or providing feedback about?

If you are making the complaint/feedback on behalf of another person please include their details in the field above. You can leave this field blank if you do not want to provide their details.

What is your Complaint/Feedback about? *

Provide some details to help us understand your concerns. You should include what happened, where it happened, time it happened and who was involved.

What outcomes are you seeking because of the complaint/feedback? *

Would you like to add anything else?

Thank you for your time. Please allow us one (1) working days to acknowledge the complaint. We are always open for feedbacks and suggestions and will try our best to improve the support and services provided.

Would you like to receive updates on how your complaint is progressing?

To receive updates, you need to provide your email address or your phone number in the relevant field above.