Share Your Experience

This form is for your constructive feedback for us to consider, either positive or negative, about your experiences with GHCS services or programs.

Let us know what what we are doing well and what we could do better.

Would you like to file a formal complaint?

If you are filing a formal complaint and asking that it be investigated and action taken, please click here

Formal Complaint Form

Your Feedback

Would you like your feedback to be Anonymous? Would you like your feedback to be Anonymous? Yes No

Your Name

What is your feedback concerning? What is your feedback concerning? a specific incident or event; general services and programs; a compliment to either the GHCS or one of its employees; or suggestions that you think might be helpful to us in improving our services. * We provide a formal complaint form if you require investigation and action taken

What was the date (and time) of the incident? What was the date (and time) of the incident?

Which Service(s) and/or Program(s)?

If you are complementing a specific employee; which one?

Would you like us to Follow Up with you? Would you like us to Follow Up with you? Yes No

Your Email Address

Your Phone

Your Feedback Information and suggestions that you think might be helpful to us in improving our services will be passed on to the program representative, senior executive and the Board.

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