Monarch Garden Inc
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1. Default Section
1
. Are your needs met?
Are your needs met?
Yes
No
2
. Were you included in your care?
Were you included in your care?
Yes
No
3
. Were procedures explained to you?
Were procedures explained to you?
Yes
No
4
. Do you know how to voice a complaint?
Do you know how to voice a complaint?
Yes
No
5
. Do you understand agency charges, and what is covered under your insurance?
Do you understand agency charges, and what is covered under your insurance?
Yes
No
6
. Do you understand your rights?
Do you understand your rights?
Yes
No
7
. Would you recommend our service to your friends & family?
Would you recommend our service to your friends & family?
Yes
No
8
. Have your questions & concerns been addressed within a reasonable time frame?
Have your questions & concerns been addressed within a reasonable time frame?
Yes
No
9
. How would you rate the overall proformance of your caregiver?
How would you rate the overall proformance of your caregiver?
1 = Excellent
2 = Satisfactory
3 = Average
4 = Disappointed
5 = Unacceptable
10
. Any comments, concerns or to commend Monarch Garden Inc please enter into the following text box. (Optional)
Any comments, concerns or to commend Monarch Garden Inc please enter into the following text box. (Optional)
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