Customer Feedback Form

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Welcome to Cairns Libraries
Date: __ / __ / __
Comment
Compliment
Opportunity for
Library : _______________
Improvement
Question
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Are you a library member?
Yes, if so please provide membership number ________________________
No
Would you like a response?
Yes, if so please provide preferred contact details
No
Email _____________________
Telephone __________________________
For Office use only:
Has a response been made? Yes/ No.
If so please provide document number: _______________
Details of response
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Staff member : ____________________ Dated: __/__/__
(Please print)
Cairns Regional Council – Information Privacy Statement
Your personal information has been collected for the purpose of feedback on library services. You are providing personal information which will be
used for the purpose of delivering services and carrying out council business. Your personal information is handled in accordance with the
Information Privacy Act 2009 and will be accessed by persons who have been authorised to do so. Your
information will not be given to any other person or agency unless you have given Council permission or the disclosure is required by law.
Need further information?
Contact your local Cairns Libraries branch,
or Ask a Librarian a question from our website

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