Client Satisfaction Survey Form
Our goal is to satisfy our clients by providing them with the best care possible. To help us improve our service delivery, Please take a moment to complete this survey.
How would you rate us on a scale of 1 to 10. 1 being Not pleased at all 5 being pleased and 10 being very pleased.
Are you pleased with the Services being provided?
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Are services meeting your needs?
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Is the Employee performance up to standard?
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Is the Employees appearance professional?
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Is the employee prompt and on time?
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How is the employees knowledge of your condition?
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How is the Employees attitude?
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Does the employee use safety techniques?
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How is the employees hand washing techniques?
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Are you and your property being treated with respect?
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When you call the office is the phone being answered in a timely manner?
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Was the voice over the phone courteous?
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Were your needs taken care of?
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Were you pleased with the response?
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Were your messages returned within 30 minutes?
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Do you feel safe with your current caregiver?
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