Customer Feedback Form
We would love to hear your thoughts or feedback on how we can improve your experience!
Name
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Email
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1. Please Provide your Information *
Relative Details
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2. Please Tell us which Care Home you are giving Feedback on *
3. How do you rate the quality of Care provided at for your relative or friend? *
4. How do you rate the cleanliness of the Care home *
5. How do you rate the Friendliness of Staff *
6. How do you rate the Complaints handling process of the care home *
7. How do you rate the overall atmosphere and environment of the care home? *
8. What is your overall impressions of the home from your recent experiences? *
9. Are there any features or processes within the home you feel need to be addressed and if so how you feel we can improve? *
Your answer
10. Please provide any feedback on the home which you wish to take forward as we look to continuously improve? *
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11. Please let us know of anyone of our Teams who deserves special mention who you feel we have go above and beyond to perform? *
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