Customer Feedback Form printable pdf download

Whiteman Park

Customer Feedback Form

Whiteman Park is committed to improving our services. If you have any comments or feedback, please fill in

this form and return it to us. Thank you.

Nature of contact:

Compliment

Suggestion

Complaint

Request for Service

Feedback

Contact Details

Please enter your contact details below:

Name:

Telephone number:

Mobile:

Address:

Postcode:

Email:

Summary of Issue

Please briefly explain the issue below and attach copies of relevant documentation if applicable.

Details: …………………………………………………………………………………………………………………………...

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Name of area/staff member this pertains to (if known):

Date of incident (if applicable):

Date of report:

Have you previously contacted us about this issue?

Yes

If yes, please give details: ………………………………………………………….....……………………………………………

………………………………………………………….....……………………………………………………………………….

What outcome are you seeking?

………………………………….....…………………………………………………

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Whiteman Park, Lord Street, WHITEMAN Perth WA 6068

Telephone: (08) 9209 6000 | Fax: (08)9249 3510

ABN: 35 482 341 493

Customer Feedback Form