Annual survey

1

Do you have a family member living at Tigh a'Chomainn?* This field is required.

Yes

No

2

Please answer the following questions with 1 being strongly disagree and 5 being strongly agree.

Strongly Disagree (1), Slightly Disagree (2), Neutral (3), Slightly Agree (4), Strongly Agree (5)

3

Do you feel welcome when you visit Tigh a'Chomainn?* This field is required.

1
2
3
4
5

Strongly Disagree

Strongly Agree

5

Do you feel that your family members needs/ the needs of the residents are met by the service provided by Tigh a'Chomainn?* This field is required.

6

If you make a comment or a suggestion do you feel listened too?* This field is required.

7

Thinking about the support provided by Tigh a'Chomainn do you have any further feedback or suggestions you would like to offer?* This field is required.

8

Please answer the next questions using a scale of Poor to Excellent.

Poor (1), Good (3) & Excellent (5)

10

Thinking about the public spaces, do you have any suggestions for improvements we could make?* This field is required.

12

Thinking about the private spaces, do you have any suggestions for improvements we could make?* This field is required.

14

You are welcome to submit this survey anonymously. However, if you would like to give your name please do.

First Name

Last Name

15

Please verify that you are human* This field is required.