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DC-055 Service User Quality Feedback NEW

Home » DC-055 Service User Quality Feedback NEW

DC-055 Service User Quality Feedback NEW

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Service User

Full Name *

Postcode *

Client Quality Feedback

Feedback will be gained quarterly over the duration of the time you use our services. These forms help to ensure we are regularly reviewing our services, and working to make positive improvements, therefore these are important that they are completed as an accurate reflection of your opinion of our services.

For each question, select one statement that matches your views as our Service User.

Does your care worker(s) arrive on time? *

Are your care worker(s) neat and presentable wearing their uniforms? *

Do you receive good quality care and support? *

Do you see regular care worker(s)?

Does your care worker(s) stay the time expected? *

Do you feel the care worker(s) are trained well?

Does your care worker(s) make you feel safe? *

Please provide further information

Does the care worker(s) communicate effectively with you while offering care?

My care worker looks after my property and makes sure my home is secure *

Do the care worker(s) support you with your medication requirements and report back any changes?

Does your care worker understand and follow your dietary needs *

Please provide further information

I am happy with my care and support plan and my care worker(s) feedback to the office if I am not, or if I need it to change *

Are there any other points you would like to express about the care worker(s)?

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