Dear Sir/Madam:

The Florida Department of Elder Affairs is the state agency responsible for the administration and monitoring of long-term care services and programs. We are contacting individuals who receive Housekeeping services through the Community Care for the Elderly program because we want to know how well this service is meeting our consumers’ needs.

We would like to improve our housekeeping and homemaker services, and this survey will help us enhance the housekeeping services we provide to you. You do not have to participate in the survey, but your input is greatly welcomed! Please know that your services will not be affected by the answers you provide. This survey should take less than 15 minutes to answer. The survey may be completed by the service recipient or an individual that is familiar with the housekeeping services provided to the service recipient.

Question Title

* Who is completing the survey?