Customer Service Questionnaire
Our primary goal at Valley Care Management is to provide our residents and families with the best service possible. Please take a few minutes to complete the following survey. Your comments and feedback will help us identify areas we are excelling in as well as areas that we can improve upon.

Evaluation of Care and Service
Staff is available in a timely manner
Disagree
Agree
Staff greets you and offers to help you
Disagree
Agree
Administrative Staff is friendly and cheerful
Disagree
Agree
Administrative Staff Answers your questions
Disagree
Agree
Staff follows through on commitments
Disagree
Agree
Overall, how would you rate staff customer service
Poor
Fair
Good
Excellent
Choose One
Evaluation of the Building and Grounds
Building is overall clean
Disagree
Agree
Individual rooms are cleaned on a regular basis
Disagree
Agree
Outside grass and landscaping are well groomed
Disagree
Agree
Overall, how would you rate the building and grounds
Poor
Fair
Good
Excellent
Choose One
Evaluation of Meals
My Loved one enjoys the food
Disagree
Agree
The variety of food options is satisfying
Disagree
Agree
The special diet required by my loved one seems to be followed appropriately
Disagree
Agree
Overall, how would you rate the food
Poor
Fair
Good
Excellent
Choose One
Evaluation of Activities
A balanced variety of activities are offered
Disagree
Agree
Activities are offered frequently during the day to meet my loved one's needs
Disagree
Agree
TimberView Crossing does well in engaging the outside community for programs
Disagree
Agree
Overall, how would you rate the activities offered at TimberView Crossing
Poor
Fair
Good
Excellent
Choose One
Final Questions
How would you describe your loved one's experience:
Your answer
What changes do you suggest to make others' experiences as good or better than your experience?
Your answer
If your loved one was admitted within the last year, please share any feedback regarding the admission process:
Your answer
Where did you first hear about us?
Would you refer us to your friends/family?
If No, Why?
Your answer
Additional Comments
Your answer
Your Name (Optional)
Your answer
Email Address (This is used to validate this survey) *
Your answer
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