E-Focus

Hillbrow Health and Wellbeing Centre Feedback Form We'd love to hear your feedback on us. Thank you for taking the time to let us know what you think of the services we provide. Please fill in the questions below with as much information as possible as this will help us continue to improve the service we provide.

1. First Name *

2. Last Name *

1. Which part/s of your customer experience are you commenting on? *

Customer Service Cleanliness Programming Memberships Pricing Maintenance Other (please specify)

2. Which activity area/s are you commenting on? *

Reception Gym Classes Pool Swimming Lessons Changing Facilities Junior Activities Catering/Vending Car Park Halls 3G Pitch Other (please specify) Other (please specify)

3. Would you say that you were making a .....? *

Complaint Compliment Comment / Suggestion

4. What would you like to tell us? *

5. Date & Time of visit *

6. Would you like a response?

Yes No

Membership Number (Optional)

Preferred Contact Method

Phone Email

Email Address *

Phone Number *