HHH Customer Satisfaction Survey

Customer Satisfaction Survey Home Health Care

We Want to Hear From YOU!
We need your input and ideas on how we can deliver better services now and in the future. Please take a few minutes to complete this questionnaire. Thank You.
Did you (or family member if applicable) participate in the development of what services you would have, when and how they would be delivered?

YesNo
Please explain what we did or didn't do?
Were your rights as a client presented and explained to you when services started?

YesNo
Please tell us how we could have explained your rights as a client better.
Were your questions answered in a professional and courteous manner while you received services by the agency?

YesNo
Please explain how we could have answered your questions better.
Were you able to meet your expected goals while receiving services with the agency?

YesNo
Could we have done something different to help you meet your goals?
Would you recommend our services to family or friends?

YesNo
Please explain why you wouldn't recommend our agency.
What could we do as an agency to improve services to our clients in the future (comments appreciated)?
Overall, how would you rate Home, Hope and Healing?

1 - Poor2 - Fair3 - OK4 - Good5 - Great
Please feel free to include any other comments here.
Thank you for you time, your opinion is greatly valued.
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Customer Satisfaction Survey Home Health Care