Feedback and Complaints form

What type of feedback would you like to give us today?

I would like to make a:

Compliment

Complaint

Suggestion

Your details:

First name

Last name

Phone

Address

Would you like a response? *

Yes

Please remember to include your contact details if you would like us to respond.

Your preferred contact method?

Phone

Mail

No contact

Is your feedback about a clinic? If so, what Family Planning clinic did you visit?

Please tell us the details of your feedback:

Please add details here. *

Please tell us what happened, who was involved, when and where it happened, how this made you feel, what you would like to happen.

Family Planning has clinics located throughout New Zealand. Use the clinic finder to find your nearest clinic.

Find a clinic

Click this Shielded icon to contact Women's Refuge or find information that could help.