Service User Satisfaction Survey

This survey is to assist in evaluating the care and support provided to you or your relative. Kindly complete to give feedback for us to improve or maintain the service.

SAFE

Carers treat me and my home with respect and dignity

Always
Sometimes
Rarely
Never

Carers follow infection control and always PPEs correctly

Always
Sometimes
Rarely
Never

Carers help me keep my home tidy and clutter free

Always
Sometimes
Rarely
Never

EFFECTIVE

Carers visit at agreed and convenient time

Always
Sometimes
Rarely
Never

Carers are always assigned to me

Always
Sometimes
Rarely
Never

Carers provide services that meet my needs

Always
Sometimes
Rarely
Never

CARING

I am given good quality care and support

Always
Sometimes
Rarely
Never

I am involved in my care planning

Always
Sometimes
Rarely
Never

Carers talk/chat with me during calls

Always
Sometimes
Rarely
Never

Carers are kind and caring

Always
Sometimes
Rarely
Never

RESPONSIVE

Carers are observant and report any changes observed

Always
Sometimes
Rarely
Never

Carers respect my wishes and choices

Always
Sometimes
Rarely
Never

I am happy with my carers

Always
Sometimes
Rarely
Never

WELL LED

I know how to contact the management when necessary

Always
Sometimes
Rarely
Never

My Carers are well trained and knowledgeable

Always
Sometimes
Rarely
Never

I know how to make a complaint or comment about the service

Always
Sometimes
Rarely
Never

What do you want us to improve on or change. Please comment below:

Date
Name (Optional)

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