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Feedback Form
Feedback Form
Share your compliments, complaints and suggestions with us.
Do you want to tell us about a compliment, complaint, or a suggestion?
Please select
Compliment – I am happy
Complaint – I am not happy
Suggestion – I have an idea to improve services
What is your relationship with BHN?
Please select
Client
Contractor or Subcontractor
Employee or Volunteer
Local Community Member
Other
Referral Partner (GP, allied health professional, hospital)
Representative of a service user (advocate, guardian, supporter, family or friend)
Student, Intern or Trainee
What service is this feedback about?
(Required)
Please select
Accessible Psychological Intervention API Counselling
Adult Community Options for adults with disability
Aged Care Volunteer Visitor Scheme Meaningful Connections
Alcohol and Other Drug Services
Care Finder
CEO's office
Childrens Allied Health
Community Health Nurse
Community Transport by volunteers
Dementia Support Service
Dentist
Diabetes Education
Dietetics
Early Help
Facilities
Family Violence Women + Children's Counselling
Finance
Gamblers Help
GP at South Melbourne
Help to stop/reduce smoking and vaping
I am a carer and looking for social or peer support
I am a carer for someone with mental health and AOD challenges
I would like to volunteer
Indigenous Health Program
Innovative Health Services for Homeless Youth IHSHY
Intake
Integrated Family Services
Mens Behaviour Change Program
Mental Health - Counselling
Mental Health - Early Intervention Psychosocial Support Resonse EIPSR
Mental Health - Mental Health Hub
Mental Health - Mental Health Integrated Care MHICC
Mental Health - social work
Mental Health - Worksafe and Upstart
NDIS funded Allied Health
NDIS funded Support coordination
Occupational Therapy (OT)
Pharmacotherapy Case Management
Physiotherapy
Podiatry
Reception or front of house
RhED Information and resources for the Victorian Sex Industry
Social Support Activities for Older Adults
Support at Home
Support for homelessness and housing instability - Community Connections
Support for homelessness and housing instability - Housing for the Aged
Support for homelessness and housing instability - Complex Case Management and Social Work
Support for homelessness and housing instability - Relocation Programs
Support for homelessness and housing instability - SAVVI /SRSOAP
Website or social media
Wellbeing for people living in a residential aged care facility
If relevant, please tell us which BHN location the feedback is about.
(Required)
Please select
Bentleigh East
Chelsea
Cheltenham (NDIS Disability Support Centre)
Clayton South (NDIS Disability Support Centre)
Edithvale (NDIS Disability Support Centre)
Mentone
Parkdale
Prahran
South Melbourne
St Kilda
Whole of BHN
No Applicable Site
If relevant, please let us know if you identify as:
This question is not mandatory but it helps us to better respond to your feedback and helps us to understand trends for improvement. Select as many as relevant.
First Nations, Aboriginal and Torres Strait Islander Person
Person living with disability/ies
Person living with mental illness
Person with lived experience of homelessness
Young person (-25 years)
Older person (+65 years)
Person from culturally and linguistically diverse (CALD) backgrounds
Person from LGBTIQA+ communities
Please tell us what happened in as much detail as you can.
(Required)
Please describe in as much detail as you can about the feedback. Provide an overview of the situation, who was involved, result and any areas of improvement. If we did something well, we would like to know this too.
Please share any suggestions for improvement, ways to prevent this issue in the future, or actions we can take to resolve your complaint.
(Required)
Please attach any images or documents that relate to your feedback.
Max. file size: 2 GB.
How likely are you to recommend BHN to your family or friends?
Please select a number between 0 and 10, with 0 being "not likely at all' and 10 being "extremely likely".
0
1
2
3
4
5
6
7
8
9
10
Tell us your name if relevant.
Leave this field blank if you want to give your feedback anonymously.
First name
Last name
Would you like us to contact you about your feedback?
If you select yes, please provide your name and contact details before submitting this form.
Yes
No
If you would like us to contact you about this feedback, please leave your preferred contact details.
Phone
Email
Phone
Email
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