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Ask Me If I Cleaned My Hands

1.BE A PARTNER IN YOUR OWN CARE!

Please observe the service provider visiting to see if they are washing their hands or using an alcohol based hand rub before and after they provide service to you or your loved one. Your active participation in your care or the care of your loved one is important to us and we value your feedback. Our goal is to provide you with safe service. Cleaning our hands using soap and water or alcohol based hand rub helps to prevent the spread of germs.
1.What Better Living family organization is this feedback for?(Required.)
2.When did you observe the service provider?
Date
3.Who Visited You?
4.Did your service provider use proper hand hygiene before and after service?
Yes
No
Not Sure
Before Service Started
After Service Finished
5. Please share any other comments you have below:
Current Progress,
0 of 5 answered