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  2. 2016
  3. October
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  5. Intermissions Family Survey
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Exit Survey
 
 
Hello! You are invited to participate in our satisfaction survey for the Intermissions Program at Cedar Crest. In this survey, you will be asked to complete a survey that asks questions about you experiences with the Intermissions program, its activities, and its staff members.Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Stephanie Baryla at 973- 944-1291 or by email at [email protected]. Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
* How many days a week does your love one attend the Intermissions Program?
   
 
 
How satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
* Variety of Activities Offered
* Interactions with Staff
* Monthly Newsletter
* Monthly Calendar
 
 
 
* How did you hear about the Intermissions Program at Cedar Crest?
 
Social Worker
 
Another Resident
 
Home Support
 
Our Pamphlet
 
Employee of Cedar Crest
 
Other

 
 
 
* Would you recommend Intermissions to other residents of Cedar Crest? (yes/no)
   
 
 
 
Comments/Suggestions about the Intermissions Program:
   
 
 
 
* What does your loved one like most about the Intermissions Program(Select all that apply)?
 
The social atmosphere of being with friends.
 
The variety of activities that simulate the mind.
 
The variety of activities that stimulate creativity.
 
Physical activities, and exercise.
 
Being able to share their talents and stories with other residents.
 
Other

 
 
How satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
* Transportation to and from the Program
* Communication with its Staff Members
* Overall Customer Service
 
 
 
Is there an activity you would like to see more of?
   
 
 
 
Is there anything you would like to see added to the monthly newsletter?