How Are We Doing? Survey

We're committed to monitoring the quality of the services we provide, as part of an ongoing improvement process. We would appreciate your feedback on our performance. (All submissions are anonymous.)

1. Please rate the following aspects of our work.

	Excellent	Good	Adequate	Poor	Unacceptable	N/A
Understanding your family needs	*Please rate the following aspects of our work. Understanding your family needs Excellent	Understanding your family needs Good	Understanding your family needs Adequate	Understanding your family needs Poor	Understanding your family needs Unacceptable	Understanding your family needs N/A
Communicating clearly and effectively	Communicating clearly and effectively Excellent	Communicating clearly and effectively Good	Communicating clearly and effectively Adequate	Communicating clearly and effectively Poor	Communicating clearly and effectively Unacceptable	Communicating clearly and effectively N/A
Meeting timescales	Meeting timescales Excellent	Meeting timescales Good	Meeting timescales Adequate	Meeting timescales Poor	Meeting timescales Unacceptable	Meeting timescales N/A
Working with you and your family	Working with you and your family Excellent	Working with you and your family Good	Working with you and your family Adequate	Working with you and your family Poor	Working with you and your family Unacceptable	Working with you and your family N/A
Responding promptly to concerns	Responding promptly to concerns Excellent	Responding promptly to concerns Good	Responding promptly to concerns Adequate	Responding promptly to concerns Poor	Responding promptly to concerns Unacceptable	Responding promptly to concerns N/A
Overall performance	Overall performance Excellent	Overall performance Good	Overall performance Adequate	Overall performance Poor	Overall performance Unacceptable	Overall performance N/A

2. Overall, how do you rate the quality of services we provide?

Overall, how do you rate the quality of services we provide? Excellent

Good

Adequate

Poor

Unacceptable

3. What level of confidence do you have in us to deliver the services that your family needs?

What level of confidence do you have in us to deliver the services that your family needs? Complete

A lot

Some

Little

None

4. Overall, is our performance ...

Overall, is our performance ... Getting much better?

Getting better?

Staying at about the same level?

Getting worse?

Getting much worse?

5. Based on our performance, would you recommend us to a friend?

Based on our performance, would you recommend us to a friend? Certain

Very likely

Somewhat likely

Unlikely

Very unlikely

6. If you have any suggestions regarding how we could improve the services we provide to you, please enter them in the box below.

If you have any suggestions regarding how we could improve the services we provide to you, please enter them in the box below.

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