Client Satisfaction Survey FULL NAMEDATECAREGIVER'S NAME1. PLEASE RATE THE FOLLOWING STATEMENTSThe caregiver is professional and courteous.ExcellentGoodFairPoorThe caregiver is punctual and reliableExcellentGoodFairPoorThe caregiver provides care that meets my needsExcellentGoodFairPoorThe caregiver demonstrates compassion and understanding.ExcellentGoodFairPoor2. COMMUNICATIONThe caregiver communicates effectively with me and my family.ExcellentGoodFairPoorThe office staff is responsive to my questions and concerns.ExcellentGoodFairPoorI am kept informed about my care plan and any changesExcellentGoodFairPoor3. RELIABILITYThe caregiver follows the established schedule.ExcellentGoodFairPoorThe services provided are consistent and dependable.ExcellentGoodFairPoor4. OVERALL SATISFACTIONI am satisfied with the services provided by Shining Light Home Care.ExcellentGoodFairPoorI would recommend Shining Light Home Care to others.YesNo5. ADDITIONAL FEEDBACKWhat do you like most about the services provided by Shining Light Home Care?What areas do you think we could improve?Additional comments or suggestions:Submit
