YOUR EXPERIENCE MATTERS

What worked?
What could be better?

A few honest words help us improve Certiva. Good, mixed or difficult experiences are all welcome. About 2 minutes.

Your email (private)

So we can identify your feedback and respond. We never publish your email.

What have you used? Your review, in your own words What should we improve? (optional, private)

Please do not include patient information, HPCSA numbers or other people’s personal details.

May we share your review?

Optional. You can submit feedback without giving publication permission.

I allow Certiva to publish my review and chosen display name on its website, social media and marketing emails. My email and private feedback must not be published. The review may be shortened without changing its meaning. Name to show with your review (only needed if you give permission)

Use your full name, first name and initial, or “Anonymous”. Only the name you enter here may be published.

You can withdraw permission by emailing hellocertiva@gmail.com. We can remove it from channels we control; we cannot recall emails already sent or copies shared by others.

How we use your response

Certiva uses your email and feedback to review your experience and respond. Submissions are stored through our website host, Netlify, and sent to the Certiva feedback inbox. Nothing is published automatically. This form does not subscribe you to marketing. Read our privacy policy.

What worked?What could be better?

How we use your response

What worked?
What could be better?