Service Feedback

CLEAR service feedback for partners

Please use this form to submit feedback about your experience with CLEAR.

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We constantly strive to improve our service to users and partners. Part of this process involves the collection of regular feedback. Approximately three months after each referral request, we will be sending the referral originator a unique ID reference that can be used with this form to provide client specific feedback, from the service partner’s perspective. All responses will be treated with utmost confidentiality. We also welcome un-solicited feedback which can also be provided using this form but leaving the Unique Reference field blank.

Your Name
Your Organisation
Your Job Role
Your email
Unique Reference
5
5
5
Did you consider the time for therapy to begin
5
5
5

Please click once only:
Thank you very much for taking the time to provide us with feedback. All responses will help refine and improve our service.

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