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Customer Satisfaction Survey

Customer Satisfaction Survey

Thank you for trusting your loved ones with us. We'd love to know a bit more about your experience. It is with quality feedback that we can improve our services and provide the best aging experience. 
12Questions
  • 1

    Please rate the following statements from 1 to 5

    Disagree = 1 | Somewhat Agree = 3 | Strongly Agree = 5
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  • 2
    • 1
    • 2
    • 3
    • 4
    • 5
    Disagree
    Strongly Agree
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    Enter
  • 3
    • 1
    • 2
    • 3
    • 4
    • 5
    Disagree
    Strongly Agree
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    Enter
  • 4
    • 1
    • 2
    • 3
    • 4
    • 5
    Disagree
    Strongly Agree
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    Enter
  • 5
    • 1
    • 2
    • 3
    • 4
    • 5
    Disagree
    Strongly Agree
    Press
    Enter
  • 6
    • 1
    • 2
    • 3
    • 4
    • 5
    Disagree
    Strongly Agree
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    Enter
  • 7
    • 1
    • 2
    • 3
    • 4
    • 5
    Disagree
    Strongly Agree
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    Enter
  • 8
    • 1
    • 2
    • 3
    • 4
    • 5
    Disagree
    Strongly Agree
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    Enter
  • 9
    • 1
    • 2
    • 3
    • 4
    • 5
    Disagree
    Strongly Agree
    Press
    Enter
  • 10
    • 1
    • 2
    • 3
    • 4
    • 5
    Disagree
    Strongly Agree
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    Enter
  • 11
    (optional)
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    Enter
  • 12
    (optional) Comments may be used for testimonials on our website, social media, printed ads or brochures.
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