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Client Satisfaction Survey
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Client Satisfaction Survey
Client Satisfaction Survey
Your Home Health Care, LLC
2017-10-26T10:41:45-05:00
Help improve our level of service by rating us using the form below. Thank you!
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1
Step 1
Name:
your full name
Email:
we respect your privacy
Please rate the quality of the services you received from us:
pick one!
Excellent
Good
Fair
Poort
Please rate the information we provided on our website:
pick one!
Excellent
Good
Fair
Poort
Please rate our staff in terms of efficiency:
pick one!
Excellent
Good
Fair
Poort
Please rate our responsiveness to feedback:
pick one!
Excellent
Good
Fair
Poort
Please rate your overall experience with our services:
pick one!
Excellent
Good
Fair
Poort
Would you recommend us to friends and family?
pick one!
Yes
No
Reason:
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