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.