Feedback Form - Equipment Assessment

Ngā mihi ki a koe i whai wā ki te whakahoki kōrero mai. He mihi hoki mō ōu whakaaro. I kohikohi whakaaro mātou ki te whakawhanake i tō mātou Specialist Rehabilitation Services. Ka whakawhiti kōrero tātou e pā ana ki ngā take katoa i puta.

Kia mōhio koe ka noho matatapu o pārongo. Kia mōhio hoki koe e kore o tātou taunekeneke e rerekē, mai i a mātou o Specialist Rehabilitation Services me ACC.

Tīpakohia he mata hei whakaatu o kare-o-roto

Whakaute: I tiaki pai ngā kaimahi o SRS i a ahau

Thanks. Your score has been saved.

Whakakakau: Nā ōku whakawhiti kōrero ki ngā kaimahi o SRS i noho mauri tau ahau

Thanks. Your score has been saved.

Mātauranga: I mātau ahau ki ngā take o ngā kaimahi o SRS

Thanks. Your score has been saved.

Māramatanga: I mārama ngā kaimahi o SRS ki ōku āhuatanga

Thanks. Your score has been saved.

Āwhina: Nā te āwhina o ngā kaimahi o SRS, i piki ai tōku oranga

Thanks. Your score has been saved.

He kōrero anō: Tukua mai he kōrero hei whakawhanake i a SRS

Are you human?
Leave this empty if you are a human. This is to prevent spam.

Ko wai te ingoa o te kaimahi o SRS?

He aha ngā ratonga pai ki a koe?

Me pēhea mātou o SRS e whakawhanake?

Ka tuku tautoko mai koe mā SRS ki ō hoa, ki ō whānau rānei? Ae Kahore

He aha ai?

Tō ingoa (noho huna)

Tohungia tēnei pouaka ina hiahia koe he karere

Error: You have already have an account in our system. If you need to generate a new password you can do this from the login page.

* Please fill out all required fields

Error: Please check the reCAPTCHA

Sending, please wait.