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