La Trobe Communication Clinic feedback form

La Trobe Communication Clinic welcomes your feedback as it helps us to continuously improve our services.

You can provide feedback in a number of ways:

● Communicate directly to the staff member who provided the service

● Place written feedback in the ‘suggestions’ box at reception

● Communicate to the Clinic Manager either directly or through written correspondence. The manager will ensure that all complaints are investigated and responded to promptly and confidentially

● Provide formal, anonymous feedback through a Client Satisfaction Survey (CSS) which is distributed annually

● Complete and submit the online feedback form below

For further information you can view your ‘Rights and Responsibilities’ on providing feedback.

Required fields are marked with an asterisk (*).

Type of feedback: *
Would you like us to contact you about this: *
Which of these categories best applies to you? * (select all that apply)

Privacy statement

La Trobe University respects the privacy of your personal information and your privacy is important to us. Information collected on this form and provided to us will only be used for the purposes related to this form including La Trobe University's marketing, promotional, publicity, research and profiling purposes and to send you further information about La Trobe University activities. La Trobe University handles personal information in accordance with its Privacy Policy and Procedure and any information collected is treated security and in accordance with our Privacy Statement.