Whānau Evaluation Form

  • Whānau Evaluation Form

  • Date Format: DD slash MM slash YYYY

    • 1-Very Well
    • 2-Above Average
    • 3-Average
    • 4-Below-Average
    • 5-Poor

  • 1. Huria Trust Hauora Service(s)

    Please Tick
  • 1. Very Well – 5. Poor
  • 1. Very Well – 5. Poor
  • 1. Very Well – 5. Poor
  • Please comment
  • Recommendations

  • 2. Huria Trust Kaiāwhina

    Please tick
  • 1. Very Well – 5. Poor
  • 1. Very Well – 5. Poor
  • 1. Very Well – 5. Poor

  • 3. Overall

  • 1. Very Well – 5. Poor
  • 1. Very Well – 5. Poor
  • 1. Very Well – 5. Poor
  • 1. Very Well – 5. Poor
  • 1. Very Well – 5. Poor
  • This field is for validation purposes and should be left unchanged.