Customer Satisfaction Survey Form

1

Name

First Name

Last Name

4

Did GRC meet all of your expectations? * This field is required.You can add specific comments on the next slide

Yes

Some yes, some no

Not really

5

Please add any comments that can help us to improve our service (optional)Here you can add specific comments about either of the previous questions.

6

Would you recommend our service to other friends/family?* This field is required.

Yes

No

Maybe

7

Please add any final comments (optional)

8

Geriatric Resource Centre