PCA Consumer Satisfaction Survey 2018 Please answer each question with a response that closely answers your opinion. OK Question Title * 1. I am treated with respect by the Tempus Unlimited PCM Staff. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 2. When I call Tempus Unlimited PCM with questions regarding my PCA services, my questions are answered correctly and timely. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 3. When I call Tempus Unlimited PCM and leave a message, my call is returned within 2 business days. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 4. My skills trainer has kept scheduled appointments with me. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 5. My skills trainer has been helpful in teaching me how to manage the PCA program. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 6. Tempus Unlimited PCM worked with me to develop a Service Agreement Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 7. The evaluation team who conducted my evaluation was professional and respectful. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 8. My evaluation was done in a timely manner Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 9. My evaluation accurately reflects my need for physical assistance with personal care. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 10. I was given the opportunity to review my evaluation. Strongly Agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 11. My skills trainer explained the MassHealth appeals process to me Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 12. I would recommend the PCM services at Tempus Unlimited to a friend. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 13. Overall I am satisfied with services provided by Tempus Unlimited PCM Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 14. I understand that I cant bill when I am admitted to a hospital or rehab. Yes No OK Question Title * 15. I understand that I cant have the PCA program, Adult Foster Care, or Group Adult Foster Care at the same time. Yes No OK Question Title * 16. I have been given a copy of the Tempus Unlimited PCM complaint and Grievance policy? Yes No OK Question Title * 17. I understand that I must submit PCA time sheets right after the end of the pay period. Yes No OK Question Title * 18. I have access to the internet? Yes No OK Question Title * 19. Additional comments and/or suggestions: OK Question Title * 20. Are there any other services or activities that you think Tempus Unlimited PCM should be offering to consumers? Yes No Comment: OK Question Title * 21. What is your email address: OK Question Title * 22. What is your skills trainers name (optional): OK Question Title * 23. Your name: OK DONE