Website Feedback Form

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Gold Care Home Services takes feedback or any complaints very seriously.
Please use the form below to provide us with any feedback, concerns or complaints on a particular issue that requires our immediate attention.

We use the feedback provided to address, investigate and correct the issues raised and promise to implement strategies to prevent incidents like this from happening again.

Positive feedback is always welcome and encouraged as well. Please rest assure that our priority is to improve and provide you with a quality service. A member of our team will contact you shortly.

1. First & Last name (Include company name) *

2. Email *

3. Care recipient name (Only if Applicable)

4. Support Worker name (Only if Applicable)

5. Date *

YYYY

6. Time *

Time

7. Type of service being performed *

Personal Care

Domestic Assistance

Companionship

Transport

Meal Preparation

Specialised support

Professional Cleaning

Medication Prompting

Other:

Required

8. Feedback Type *

Customer Service

Quality of Service

lack of Communication

Positive Feedback

Procedure concern

General Feedback

Other:

Required

9. Feedback Summary: *

10. Please provide us with any suggestion to improve: *

Submit

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