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Please complete before the deadline of January 15, 2023

Complete this survey if you use Senior Care Options or the One Care program.
This survey is for Personal Care Management (PCM) services only:  Intake and Orientation, skills training and evaluation services.   


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* 1. I am treated with respect by the Tempus Unlimited PCM staff

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* 2. When I contact my PCM agency with questions regarding my PCA services, my questions are answered correctly and timely.

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* 3. When I call Tempus, I receive a response within 3 business days.

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* 4. My skills trainer has kept scheduled appointments with me

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* 5. My Skills Trainer has been helpful in teaching me how to manage the PCA program

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* 6. Tempus PCM worked with me to develop  a Service Agreement

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* 7. I have been provided a copy of my Service Agreement within 10 days of developing the Service Agreement. 

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* 8. The evaluation team who conducted my evaluation was professional and respectful. (One Care participants please respond) 

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* 9. I was given the opportunity to review my evaluation: (One Care participants please respond)

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* 10. I have been provided a copy of my evaluation upon its submission to MassHealth for review and decision. (One Care participants please respond)

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* 11. Tempus PCM Agency is respectful of my culture

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* 12. Overall, I am satisfied with my PCM agency Tempus Unlimited. 

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* 13. I understand that I can not send in PCA timesheets when I am admitted to a hospital or rehab?

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* 14. I understand that I can not have the PCA program and AFC or GAFC at the same time.

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* 15. I have been given a copy of the Tempus Unlimited Complaint & Grievance Policy?

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* 16. I understand that I must submit PCA timesheets right after the end of the pay period?

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* 17. Do you have access to the internet? 

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* 18. Email Address Provided? Please include your full name and email address here:

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* 19. Would you like to receive info by E-Mail?

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* 20. Are you a consumer

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* 21. Are you a surrogate? 

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* 22. Are you a parent or legal guardian?

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* 23. Are you a MassHealth Member?

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* 24. Are you a member of Senior Care Option or 1 Care Plan?

0 of 24 answered
 

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