Feedback Form | North Richmond Community Health DateName(optional)Client ID(optional)Are you a client? Yes No Do you identify as Aboriginal or Torres Strait Islander? Yes No If yes, please tick below Aboriginal Torres Strait Islander Aboriginal and Torres Strait Islander Would you like a staff member to contact you about your comments? Yes No If yes, how would you like to be contacted? Phone Email Mail address What did we do well (compliment)?What didn’t we do well (complaint)?What can we do to improve?Phone(optional)Email (optional)Mailing address(optional)EmailThis field is for validation purposes and should be left unchanged.