Survey Form

Please answer the questions below. All answers are confidential. Your answers enable us to improve the service you receive.

How long was your stay at Ozanam House?

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Did the initial phone contact provide enough information of what to expect?

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Did access to our web site to provide sufficient addition information about Ozanam House?

YesNo Invalid Input

If you travelled to/and from Palmerston North by shuttle, are there any comments you would like to make about this service?

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Was your room clean on arrival?

YesMostlyNo Invalid Input

Did the room and house facilities meet your needs?

YesMostlyNo Invalid Input

Comments

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Was there adequate privacy when needed?

YesUsuallyNo Invalid Input

Did Ozanam House staff treat you with respect?

YesUsuallyNo Invalid Input

Did you feel that you were supported and your needs were understood by staff during your stay?

YesUsuallyNo Invalid Input

Do you have any suggestions for any improvements we can make to the facilities and services we offer?

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What is the best aspect of Ozanam House?

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Now that you have experienced staying at Ozanam House, and in view of radiation treatment in future becoming available in your region, would you prefer to have your treatment locally, i.e. daily travelling to your local hospital, having treatment, then continuing with your usual daily routine?

YesNo Invalid Input

Or would you prefer to come to Palmerston North and stay at Ozanam House and enjoy the benefit of being away from daily routines, being amongst others, concentrating on treatment and having a little timeout?

YesNo Invalid Input

Comments

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Do you have any final comments you would like to make?

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Please advise where you come from:

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Captcha(*)

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