QPS Feedback Form - Client Service

General feedback about our service
Overall, how would you rate our level of client service?	Excellent Very Good Good Fair Poor Please make a selection.
How can we improve our services?	characters left
Feedback about a specific interaction with us
When did you deal wth us?
Date:
Time:
Location:
Who did you deal with?
Officer's name:
Rank (if known):
Region (if known):
District (if known):
Station:
Were you happy with our service?	Yes No
If yes, what did you like?	characters left
If no, how can we improve our services or our charter?	characters left
Contact Details
If you would like us to correspond with you about your comments, please provide your name and contact details:
Name:
E-mail address:
Retype Email Address:
Phone Number:
Postal Address
House number and Street:
Suburb:
State:
Postcode:
This information is being collected and used to ensure that continual improvements are made to the levels of service provided to you. The personal information will be used by authorised QPS members only and will not be released to external agencies.

Last updated October 2012

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