Patient Satisfaction Survey

Thank you for allowing us to provide care for your or your loved one. We are interested in your feedback in order to make sure we are providing the best service possible. Please take a moment to answer the following questions.

How satisfied are you with the care being provided by your personal care assistant?

How satisfied are you with the care you receive from the nurse?

How satisfied are you with the amount of decision making you are involved in regarding your care?

How satisfied are you with the way you are treated by the Shanadoa Home Health staff?

How well does the staff explain your conditions, rights and responsibilities and other procedures related to the care you receive?

How satisfied are you with the staff arriving as scheduled?

Are you able to reach a nurse promptly and are your calls returned?

Yes

No

When you call our agency how satisfied are you with the staff that takes your call?

Would you use our agency again? If no please explain.