Client’s Service Feedback

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Date (Date / Month / Year): *

Client's Name: *

Service Provided: *

Support Worker: *

1. How would you rate the quality of the service? *

• Very satisfied
• Somewhat satisfied
• Not very satisfied
• Not at all satisfied

2. How would you rate the communication with our team? *

• Very satisfied
• Somewhat satisfied
• Not very satisfied
• Not at all satisfied

3. Do you feel that you have been provided a safe, caring, and supportive learning environment by your support worker? *

• Yes, always
• Sometimes
• Rarely
• No, never

4. How well has your Support worker/ Manager communicated your expectations in achieving your goals? *

• Very well
• Somewhat well
• Not very well
• Not at all well

5. How satisfied are you with the availability of activities that you need? *

• Very satisfied
• Somewhat satisfied
• Not very satisfied
• Not at all satisfied

6. How satisfied are you with Ongoing Care's response to any concerns or issues you may have raised? *

• Very satisfied
• Somewhat satisfied
• Not very satisfied
• Not at all satisfied

7. Are You treated with dignity and respect? *

• Very well
• Somewhat well
• Not very well
• Not at all well

8. Do you find Ongoing Care staffs are friendly and helpful? *

• Yes
• No

9. Would you recommend Ongoing Care to a friend or colleague? *

• Yes
• No

10. Is there anything else you would like to share or comment on regarding our service? *

Submit

Thank you for taking the time to provide us with your feedback. Your input is valuable as we strive to improve our service.