Feedback and Complaints Form

BCLS is committed to providing high quality services and meeting your needs. We value your feedback – including complaints.

Please let us know what we do well and where we can improve our services.

    What is your relationship ? (required)
    ClientFormer clientFamily of clientFriend of clientOther

    If 'other', please specify:

    Is your feedback a compliment, suggestion for improvement or complaint? (required)
    ComplimentImprovementComplaint

    Do you require an interpreter? (required)
    NoYes

    If 'yes', please specify language:

    Personal details (Optional):

    Your Name

    Contact Number

    Email Address

    Feedback details:

    Thank you for taking the time to provide feedback about our service.