Client Feedback – Arcadia Home Care

Thank you for taking the Client Feedback Survey. The survey should take less than 5 minutes of your time. Please rate your experience accordingly

Rating Scale:

1= Poor, 2= Average, 3= Good, 4=Very Good 5= Excellent

Client Name

Date

How would you rate the PSW’s attendance and reliability?

1 2 3 4 5

How would you rate the PSW’s adherence to wearing PPE and following COVID Health and Safety protocols?

1 2 3 4 5

How satisfied are you with the PSW’s ability to provide quality care and service?

1 2 3 4 5

How would you rate the communication and response time of the office?

1 2 3 4 5

How would you rate the overall quality of Arcadia’s services?

1 2 3 4 5

Additional comments and suggestions: