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Home
About Us
Our Services
Apply Here
Client Intake
Telemedicine
Contact us
Resources
Paying for Home Care
Employee Resources
Blogs
Client Survey
Your Name (required)
Your Email (required)
Phone
Address
1. Please rate the quality of the services you received from us:
Excellent
Good
Fair
Poor
2. Please rate the information we provided on our website:
Excellent
Good
Fair
Poor
3. Please rate our staff in terms of efficiency:
Excellent
Good
Fair
Poor
4. Please rate our responsiveness to feedback:
Excellent
Good
Fair
Poor
5. Please rate your overall experience with our services:
Excellent
Good
Fair
Poor
6. Would you recommend us to friends and family?
Yes
No
7. Staff to be rated:
RN
LPN
HHA
PCA
8. Shift:
First shift
Second shift
Third shift
Live-in
9. Arrived to work on time:
Excellent
Good
Fair
Poor
10. Well-groomed and neatly dressed :
Excellent
Good
Fair
Poor
11. Staff friendliness :
Excellent
Good
Fair
Poor
12. How did the nurse explain about your medication, treatment, appointment and overall care?
Excellent
Good
Fair
Poor
Staff
a. Staff Always had an ID badge :
Excellent
Good
Fair
Poor
b. Respectfulness, politeness, and attitude:
Excellent
Good
Fair
Poor
c. Completed all tasks on time :
Excellent
Good
Fair
Poor
d. How would you rate your caregiver/nurse :
Excellent
Good
Fair
Poor
e. Overall Rating for the Staff :
Excellent
Good
Fair
Poor
14.Overall Rating for the Company, how would you rate from 1-10 ?
Reason