Annual survey

1

Do you have a family member living at Tigh a'Chomainn?* This field is required.

Yes

No

2

Please answer the following questions from a scale of Strongly Disagree to Strongly Agree.

Strongly Disagree (1), Slightly Disagree (2), Neutral (3), Slightly Agree (4), Strongly Agree (5)

3

Do you feel welcome when you visit Tigh a'Chomainn?* This field is required.

Strongly Disagree

Strongly Agree

5

Do you feel that your family members needs/ the needs of the residents are met by the service provided by Tigh a'Chomainn?* This field is required.

6

If you make a comment or a suggestion do you feel listened too?* This field is required.

7

Please answer the next questions from a scale of Poor to Excellent.

Poor (1), Good (3) & Excellent (5)

10

Do you have any suggestions for improvements we could make?* This field is required.

12

You are welcome to submit this survey anonymously. However, if you would like to give your name please do.

First Name

Last Name

13

Please verify that you are human* This field is required.