Client Feedback Questionnaire

Name

Email Address

Overall, how satisfied are you with the services provided by Clarion Homecare? Overall, how satisfied are you with the services provided by Clarion Homecare? Excellent Good Fair Poor

How would you rate the professionalism of the care staff? How would you rate the professionalism of the care staff? Excellent Good Fair Poor

How well do the caregivers meet your needs and preferences? How well do the caregivers meet your needs and preferences? Always meet my needs Mostly meet my needs Sometimes meet my needs Do not meet my needs

How reliable are the caregivers in terms of punctuality and consistency? How reliable are the caregivers in terms of punctuality and consistency? Very reliable Reliable Sometimes reliable Unreliable

How would you rate the communication with the Clarion Homecare team? How would you rate the communication with the Clarion Homecare team? Excellent Good Fair Poor

Do you feel comfortable and safe with the care you receive? Do you feel comfortable and safe with the care you receive? Always Most of the time Occasionally Never

Do our carers treat you with respect, dignity, and kindness? Do our carers treat you with respect, dignity, and kindness? Always Most of the time Sometimes Rarely Never

Do your carers arrive on time and complete your support tasks properly? Do your carers arrive on time and complete your support tasks properly? Always Most of the time Sometimes Rarely Never

Is it easy to contact Clarion Homecare when you need help? Is it easy to contact Clarion Homecare when you need help? Yes Mostly Sometimes No

Are there any areas where you feel improvements could be made?

What do you like most about our service?

Would you recommend Clarion Homecare to others? Would you recommend Clarion Homecare to others? Yes Maybe No

Any additional comments or suggestions?

Please tick below if you are happy for Clarion Homecare to publish your review or comments on our website or printed materials. Your name will only be shown if you choose to allow it. Please tick below if you are happy for Clarion Homecare to publish your review or comments on our website or printed materials. Your name will only be shown if you choose to allow it. Yes, I give permission for Clarion Homecare to publish my feedback. Yes, but please publish my feedback anonymously. No, I don not give permission to publish my feedback.