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CHC Feedback
1.
Are you a carer or person with CF?
I have CF
I am a carer
2.
What is the age of the person receiving CFWA Home Care services?
0-5
6-12
13-18
19-25
25+
3.
In the last six months, who has been your Home Care Worker (HCW)?
Frances Kwiatkowski
Sharon Alaga
Kate Tindall
Sophie Maffey
Heather Riley
Ishbel Macqueen
Hayley Fullarton
Natasha Cobb
Josephine Palladino
4.
Please rate the HCW service according to the following criteria:
Poor
Average
Good
Excellent
How reliable is your HCW service? (always punctual and rarely cancels)
Poor
Average
Good
Excellent
How friendly and approachable is your HCW?
Poor
Average
Good
Excellent
Does your HCW act in a professional manner? (for example, shows respect, empathy and integrity)
Poor
Average
Good
Excellent
How competent is your HCW service? (Understands individual’s treatment routine)
Poor
Average
Good
Excellent
Does your HCW practice good infection control procedures in your home? (wears gown and performs hand hygiene appropriately)
Poor
Average
Good
Excellent
Is your HCW able to be flexible with their service delivery?
Poor
Average
Good
Excellent
5.
Please answer the following questions about your home care service:
Not at all
Somewhat
Unsure
Quite a bit
Greatly
Has the HCW service helped to increase your knowledge of your CF health regimes?
Not at all
Somewhat
Unsure
Quite a bit
Greatly
Does the HCW service help to maintain or improve compliance with your care routine?
Not at all
Somewhat
Unsure
Quite a bit
Greatly
Does the HCW service help to improve quality of life for your family?
Not at all
Somewhat
Unsure
Quite a bit
Greatly
Does the HCW service help you feel better supported?
Not at all
Somewhat
Unsure
Quite a bit
Greatly
Do you think the HCW service enables you to better fulfill your day to day activities?
Not at all
Somewhat
Unsure
Quite a bit
Greatly
6.
Please provide any additional comments/suggestions for this service.
Current Progress,
0 of 6 answered