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Client Survey Form

This survey has been shared with you to help us analyse and improve the quality of care we provide. You do not have to declare your Identity if you choose not to, as this can be returned anonymously.

What is your age group? *
Your gender? *
Do you want to remain anonymous? *
Duration of care *
How would you rate the quality of care you receive? *
Do the care workers arrive on time for your scheduled visit? *
How satisfied are you with the level of personal care provided, (e.g., bathing, dressing, etc?)*
How well do care workers communicate with you? *
Are you informed in advance if there is a change in your care schedule? *
Do you feel comfortable discussing any concerns or issues with your care workers?*
How would you rate the competence of the care workers?*
Do you feel that the care workers are well-trained and knowledgeable? *
Do care workers treat you with dignity and respect? *
Overall, how satisfied are you with the service you receive? *
Would you recommend our service to others? *
Do you feel your support plan is tailored to meet your specific needs?*
Do you feel safe and secure while receiving care in your home? *
Do the care workers use appropriate Personal Protective Equipment (PPE) during visits?*
Do you feel that your consent is sought before any care procedures are carried out?*
Are there any areas you feel could be improved?
Do you have any additional comments or feedback?