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Metro South Health

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About us
COVID-19 Response
Hospitals and centres
Patients and visitors
Join our team
Get involved
Clinician resources
- Compression garments for lymphoedema
- Residential aged care end of life care pathway
Refer your patient
Research

Online feedback form

Give feedback by using a voice or video recording
Use our feedback form in Arabic, Burmese, Chinese, Dari, Korean, Persian, Somali, Spanish or Vietnamese.

At Metro South Health, we want to give you the best care. We would like you to tell us about your healthcare experience. We want to know when we are doing well and when we are not doing well so that we can make things better.

All feedback is confidential, and you don’t have to tell us your name if you don’t want to.

You can provide your feedback on this web page, in person, over the phone or via email. If you need any help giving us feedback, or would like to talk to us, you can find these details on the contact us page.

Your details

Please select how you would like to give feedback *

Complete typed form below

Upload a video (max. 200 MB)

Upload a voice recording

Please select which hospital or service this feedback relates to *

Addiction and Mental Health Services

Beaudesert Hospital

Logan Hospital

Princess Alexandra Hospital

QEII Jubilee Hospital

Redland Hospital

Southern Queensland Centre of Excellence, Inala

Wynnum-Manly Community Health Centre

Community health service (including the Oral Health Service)

Unsure

Full name

You do not have to write your name if you don’t want to.

You do not need to provide your email address. However, please be aware that without an email address we can not provide you with a confirmation of submission, contact you for further information or let you know the outcome of a complaint.

Phone

You do not need to provide your phone number. However, please be aware that without a phone number we can not contact you for further information or let you know the outcome of a complaint.

Is this a *

Compliment

Complaint

Suggestion

Consumer details

Are you the consumer? *

Yes

Do you give us permission to access your medical record as part of our review? *

Yes

Date of birth

Day

Month

Year

This helps us to review your medical record when investigating compliments or complaints.

UR Number (if known)

Please note that consent will be needed from the consumer (or their guardian or attorney) to take this complaint further and to access their clinical record.

Consumer's full name *

Consumer's date of birth *

Day

Month

Year

Consumer’s phone number *

Your relationship to the consumer *

Feedback

You are welcome to provide feedback in the language you have selected. As part of your recording, please provide as much detail as possible about:

Where the event of your feedback took place (if applicable)
What we did well
What we can do better
What outcome you would like from your feedback

If you would like us to investigate your feedback, please also include your name and date of birth.

Upload media

Instructions: After choosing a file, click the upload button and wait for file upload to complete. Then scroll to the bottom of the form to submit.
Files must be less than: 200 MB
Allowed file types: gif jpg jpeg png avi mov mp3 ogg wav mp4

Camera

Instructions: After choosing a file, click the upload button and wait for file upload to complete. Then scroll to the bottom of the form to submit.
Files must be less than: 100 MB
Allowed file types: gif jpg jpeg png avi mov mp3 ogg wav mp4

Date of event (if applicable)

Day

Month

Year

Location (if applicable)

Please tell us which ward, service or department this feedback relates to.

What did we do well?

What can we do better next time?

What outcome would you like from your feedback?

Other comments or feedback

If you are making a complaint, would you like us to contact you to discuss your concerns and let you know what we found after our investigations? *

Yes

When we contact you, will you:

Require an interpreter? *

Yes

Language *

Require hearing support? *

Yes

What support will you require? *

Have trouble reading information we send you? *

Yes

Would you like to get involved in activities that help us make the patient and carer experience better in our hospitals and services? *

Yes

Demographics

Finally, we have some optional demographic questions. We will use this information for reporting purposes and to identify areas where we can improve.

Do you identify as Aboriginal and/or Torres Strait Islander? *

No, I don’t

Yes, Aboriginal

Yes, Torres Strait Islander

Yes, Both Aboriginal and Torres Strait Islander

Prefer not to say

What is your country of birth?

What language do you speak at home?

What is your gender? *

Male

Female

Non-binary / genderqueer

Prefer not to say

Gender identity not listed

I identify as

Do you have a disability? *

Yes

Prefer not to say

Your Privacy:

We take your privacy seriously. It is important to note that there will be no record of your complaint attached to the consumer’s medical chart. All feedback is treated with utmost confidentiality. All complaints will be investigated and all compliments and suggestions will be forwarded to relevant staff and their supervisors. Video and audio recordings will be shared with the relevant service/department.