Step-By-Step Home Care Customer Satisfaction Survey
Please fill out our brief Customer Satisfaction Survey. All of us at Step-By-Step Home Care would like to thank you for using our services. We welcome your feedback regarding the care that you received from us. Your honesty helps us work toward better service for everyone, while ensuring customer satisfaction.
How long have you used our agency for nursing/skilled services?
*
Less than a month
1-12 months
1-3 years
3-5 years
More than 5 years
Which services do/did you receive?
*
Home Health Aide Services
Homemaker Services
Other
How often do/did you receive services?
*
8-10 hours per day
12-16 hours per day
17-24 hours per day
Skilled visits 1-7 days per week
Other
I am satisfied with the level of customer service I receive from Step-By-Step Home Care.
*
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
I am satisfied with the quality of skilled services I received.
*
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
I feel the staff members were competent and had the skills necessary to care for me.
*
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
I am satisfied with Step-By-Step Home Care Staffing/Scheduling Department.
*
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
I am satisfied with the on-call services that are available after hours.
*
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
I am satisfied with Step-By-Step Home Care's Administration Department?
*
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
Overall, how would you rate Step-By-Step Home Care's services compared to our competitors?
*
Much better
Somewhat Better
Same
Much Worse
No Opinion
How satisfied are you with our services overall?
*
Extremely Satisfied
Quite Satisfied
Neutral
Somewhat Dissatisfied
Extremely Satisfied
I would recommend Step-By-Step Home Care Services to friends and/or family.
*
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
How long have you used our agency for nursing/skilled services?
*
Less than a month
1-12 months
1-3 years
3-5 years
More than 5 years
What impressed you most about our services?
What disappointed you most about our services?
Additional suggestions you would like to share?
Your Name (Optional)
First Name
Last Name
E-mail (Optional)
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