1st CHOH Stakeholder Satisfaction Survey Form 2020

Stakeholder Satisfaction Survey

For each statement below, please check the response that comes closest to your own feelings. Please return by online submittal, via mail using the address listed below or fax to CHOH at 1(888) 633-2339.

Response Scale

	Strongly Disagree	Disagree	Neither Agree or Disagree	Agree	Strongly Agree
The organization treats clients with courtesy and respect.
The organization has a good public image.
Caring Hands & Open Hearts is committed to high quality client care.

Please explain any rating below a “4”
Are there any comments you would like to make to assist us in understanding any of the other ratings given?
What do you consider to be the biggest asset of Caring Hands & Open Hearts?
What can you offer as areas for improvements?
Additional comments or suggestions:
Name (OPTIONAL)

First NameLast Name
Thank you for helping us improve the services we provide at Caring Hearst & Open Hearts, LLC.

Caring Hands & Open Hearts, LLC

6487 Spring Street

Douglasville, GA 30134

(404) 731-8799 (Office) or 1(888) 633-2339 (FAX)
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