Visitor Experience Form

Share Your Experience with Us

At Ashburton District Council, we’re committed to creating safe, respectful, and welcoming spaces across all our facilities.

Whether your experience was positive or there’s something we could improve, we encourage you to share your thoughts with us through our Visitor Experience Form. Your insights help us celebrate wat we’re doing well and improve where needed.

What Happens With Your Feedback?

When you submit a Visitor Experience Form, your feedback is taken seriously and handled with care. Here's how the process works:

We Receive Your Feedback: As soon as you submit the Visitor Experience Form, our Customer Service team reviews it and makes sure it’s passed on to the right people.
It Goes to the Right Team: Your feedback is shared with the manager or team responsible for the area you’ve commented on. This helps us make sure your message is seen by those who can take action.
We Take a Closer Look: Whether you’ve shared a compliment, suggestion, or concern, the team will look into it carefully. If something needs fixing or improving, we’ll work out the best way to do that.
We May Get in Touch: If you’ve asked for a follow-up or raised an issue that needs more information, someone from our team may contact you to chat further or let you know what’s being done.
Your Feedback Helps Us Improve: Every piece of feedback, good or bad, helps us learn, grow, and make our spaces better for everyone. We use it to celebrate great service, improve facilities, and make changes where needed.

We appreciate you taking the time to share your experience, it helps us grow and serve our community better.

Tell us about yourself

Name *

Phone *

Email *

Visitor Type *

How would you like us to contact you?

Phone
Email

If under 18

Caregiver Name

Contact Details

Your relationship to the individual submitting the feedback:

Do you have permission to complete this form?

Visitor Experience Details

Date and Time *

Day Month Year Hour Minute

Location *

Has a staff member been advised of feedback *

If yes, please specify the name of the staff member if known

Visitor Experience Description

Tell us what happened, when, where, and who was involved. Include key dates and details. You can attach documents or photos to support your feedback. *

Consent & Declaration

Privacy Consent *

I consent to the collection, use, and storage of my personal information provided in this form for the purpose of sharing positive feedback, or investigating and resolving my complaint, in accordance with the Privacy Act 2020 and Ashburton District Council’s Privacy Policy. I understand that Council may obtain and use CCTV footage as part of the investigation, in accordance with our CCTV Policy and Guidelines.

Declaration *

I declare that the information I have provided in this visitor experience form is true and accurate to the best of my knowledge. I understand that providing false or misleading information may result in the feedback being dismissed.

You must click "SUBMIT" below for your feedback to be submitted.

You will receive a confirmation email once your feedback has been properly submitted. If you do not receive an email or have any questions, please contact us at info@adc.govt.nz.