Feedback form about support received
Your name
*
First Name
Last Name
Location or area that you are supported
*
Please Select
Seagables
Children's
Carter House
Hill Street
St Peters View
Community services
Complex
About your support
Please rate the level of trust that you have in your staff supporting you
*
1
2
3
4
5
Please rate the level of trust that you have in the management team at your service
*
1
2
3
4
5
Please rate how much you trust the company
*
1
2
3
4
5
Support Workers - Please rate each area of the support you receive
*
Improvement required
Satisfied
Good
Excellent
Not consistent between carers
N/A
Are your support workers on time?
Are your support workers professional?
Are your support workers caring?
Do your support workers help you to keep covered up when getting changed or when having your personal care?
Do your support workers knock before entering your home?
Do your staff have enough training to support you?
Management support
*
Improvement required
Satisfied
Good
Excellent
Not consistent
N/A
How managers communicate with you
How managers help you with complaints or concerns
Ensuring that the care you receive is how you want it to be
Regular meetings about your care
Please rate the care you receive
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Any other feedback
Submit
Should be Empty: