Client Satisfaction Survey Please enable JavaScript in your browser to complete this form.I was satisfied with the care provided by Companion:YesNoNAI was satisfied with the care provided by Certified Homemaker-Home Health AideYesNoNAI was satisfied with the care provided by Nurse SupervisorYesNoNAStaff treated me, my family, my home and my belongings with respect.YesNoNAStaff arrived as scheduled and stayed for the required timeYesNoNAServices were explained to me.YesNoNAI was involved in decisions about my care.YesNoNAOffice staff are courteous and direct my calls appropriately. YesNoNAStaff is responsive to my questions, concerns or problems.YesNoNAAfter hours phone calls are handled promptly and appropriately.YesNoNABilling concerns are handled quickly and appropriately.YesNoNAI am kept informed of changes.YesNoNAWould you use our service again?YesNoNAWould you recommend our services to others?YesNoNA you provided and Do you have any suggestions for ways we can improve our services?Signature (optional - type your name)Submit
