Feedback Form

Your Feedback Matters

At Unique Support Services, we are always striving to improve the quality of our services. Your thoughts, experiences, and suggestions help us grow and better support our community.

Whether it’s a compliment, a concern, or an idea for improvement — we want to hear from you.

💬 Have Feedback to Share?

If you’ve recently used our services or interacted with our team, we invite you to complete the form below. It only takes a few minutes, and every response helps us do better.

Fields marked with * are mandatory

I would like to remain anonymous

* Your first name

* Your last name

Postal Address

* Contact Email

Preferred Contact Number

* Preferred Contact Method

The name of the individual who received support
Individual's first name (if known)

Individual's last name (if known)

* Your relationship to the individual

* Do you require an interpreter?
NoYes

* Are you making a complaint on someone else's behalf?
NoYes

* Does the person know you are making a complaint on their behalf?
NoYes

* Do you give us permission to speak with the person regarding this feedback?
NoYes

Describe your feedback or complaint
* Please be as descriptive as possible

What outcomes would you like as a result of providing this feedback/complaint?

Do you have any additional information or comments to provide?

Attach a file (optional)

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