Tickit on Demand - headspace National Youth Mental Health Foundation

This form is used to record any compliments, complaints and/or suggestions about Spaces.

If this is NOT a compliment, complaint and/or suggestion, please submit your request/comment to:

https://headspace.org.au/contact-us/

Your Name

Your Email

What is your Spaces username? ^*

What is your postcode?

Are you a headspace staff member?^*

YesNo

If you selected "Other' please detail how you were informed^*

Type of feedback^*

ComplimentComplaintSuggestion

Feedback^*

Please provide details of your feedback relating to eheadspace Spaces

Tell us how you would like this resolved

Are you completing this form on behalf of someone else?^*

YesNo

If you selected 'other' please outline your relationship

Do you consent to headspace publishing your compliment to promote headspace services and encourage helpseeking behaviour?

YesNo