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client satisfaction survey
feel free to contact us with questions or comments!
* How satisfied are you with our services overall?
Extremely Satisfied
Quite Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Quite Dissatisfied
* How long have you used our agency for healthcare services?
Less than 1 month
1-12 months
1-3 years
3-5 years
* I am satisfied with Supreme Choice Healthcare’s Administration Department.
Strongly Agree
Agree
No Opinion
Disagree
* I would recommend Supreme Choice Healthcare services to friends and/or family.
Strongly Agree
Agree
No Opinion
Disagree
* How often do/did you receive our services?
1-10 hours per day
12-16 hours per day
17-24 hours per day
* I am satisfied with the level of customer service I receive from Supreme Choice Healthcare:
Strongly Agree
Agree
No Opinion
Disagree
* I feel the staff members were competent and had/have the skills necessary to care for me.
Strongly Agree
Agree
No Opinion
Disagree
* I am satisfied with the on-call services that are available after hours.
Strongly Agree
Agree
No Opinion
Disagree
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