Feedback and Resolution Form | Pragma Home Care

Your Details (person completing form)

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Pragma Home Care welcomes all feedback however if you wish to remain anonymous, we will not be able to provide you with further information in relation to this feedback.

Full Name

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Your Feedback

Please tell us about your feedback so we can understand what you would like to tell us.

Please provide details of who/what the feedback or complaint is about, what happened, when it happened, who was involved, and any decisions made. Please attached any further documentation you may have to support your feedback.

Which area of Pragma Home Care does your feedback relate to

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Your Feedback

Further documentation

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Demographics

Your personal information will be kept confidential and used on a need-to-know basis.

We may be required by legislation to provide this information to regulatory authorities, our insurers, and any necessary service providers in investigating or taking appropriate remedial action. The demographic information can also help us know if we are missing feedback from some groups of people. It also tells us if some groups of people have a better or worse experience than others. These questions are optional.

Do you identify as Aboriginal or Torres Strait Islander?

Do you identify as Culturally and Linguistically Diverse (CaLD)?

Yes No Prefer not to say

Do you identify as LGBTQIA+?

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Which gender do you identify as?

Female Male Other Prefer not to say

Further Information

Have you contacted another service provider or agency regarding your feedback? If so, please provide details of the person or agency and attach any correspondence (if you are willing to share this information with Pragma Home Care).

Person

Agency

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Brief description of Information provided

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