Aged Care Navigators – enter printed customer survey

Aged Care Navigators – enter printed customer survey

***FOR NAVIGATOR USE ONLY***

USE THIS FORM TO ENTER PRINTED SURVEYS ONLY

If you are looking to send a customer an online survey to complete go here: https://www.cota.org.au/acnavs-send-customer-survey/


  • When thinking about the contact you had with the Aged Care Navigator:

  • Strongly Agree Agree Neutral Disagree Strongly disagree
    1. I feel that I know more about what aged care services and supports are available.
    2. I feel more confident to seek help from the aged care system if I need to.
    3. I would recommend my session to others or get them to book in for a chat.
    4. I found the information to be useful.
    5. The support was of assistance to me.
  • Please tell us a few things about yourself

  • You can select multiple options by pressing your CTRL button on your keyboard and then click multiple lines to highlight them
  • Office Use Only

  • Please select one only
  • Date Format: DD slash MM slash YYYY