Staff Survey - Reliant at Home

We Value Your Input

Thank you for linking to this short survey. We value your input about the care we provide. All questions can be answered in less than two minutes. Please choose the most appropriate response to each question.

The survey you are about to complete may either be kept confidential or you may provide your name if you wish us to follow up with you or pass along any positive feedback to our team. Our goal is to ensure we provide exceptional care and take any criticism as a chance to be better in the future.

On a scale of 1 to 10 (best), how well did our staff explain our care and services to you?*

On a scale of 1 to 10 (best), how well did our staff talk to you about safety in your home?*

On a scale of 1 to 10 (best), how well did our staff review all of your medications with you?*

On a scale of 1 to 10 (best), how well did our staff do letting you know when they were coming?*

On a scale of 1 to 10 (best), did our staff treat you with kindness and respect?*

If you wish us to follow up with you to address any low scores, please provide your name and number. If you wish to add any positive feedback about our care or clinicians, please provide your name and any other specifics and we will make sure to pass the praise along!

Name

Phone Number

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