Elizabeth Court Rest Home Satisfaction Survey

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* 1. How likely is it that you would recommend this service to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

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* 2. What is your relationship with Elizabeth Court Rest Home?

Resident

Relative/ friend of resident

Professional provider/ AHP

Visiting Service (e.g. activity provider)

Staff

Other (please specify)

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* 3. Overall, how satisfied or dissatisfied are you with our service?

Very satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Very dissatisfied

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* 4. Which of the following words would you use to describe our service? Select all that apply.

Reliable

High quality

Useful

Unique

Good value for money

Overpriced

Impractical

Ineffective

Poor quality

Unreliable

Other (please specify)

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* 5. How well does our service meet your needs?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

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* 6. How would you rate the quality of our service?

Very high quality

High quality

Neither high nor low quality

Low quality

Very low quality

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* 7. How responsive have we been to your questions or concerns about our service?

Extremely responsive

Very responsive

Somewhat responsive

Not so responsive

Not at all responsive

Not applicable

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* 8. How long have you known about our service?

This is the first time I've heard of you

Less than six months

Six months to a year

1 - 2 years

3 or more years

Elizabeth Court Rest Home Satisfaction Survey

Question Title

* 1. How likely is it that you would recommend this service to a friend or colleague?

Question Title

* 2. What is your relationship with Elizabeth Court Rest Home?

Question Title

* 3. Overall, how satisfied or dissatisfied are you with our service?

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* 4. Which of the following words would you use to describe our service? Select all that apply.

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* 5. How well does our service meet your needs?

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* 6. How would you rate the quality of our service?

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* 7. How responsive have we been to your questions or concerns about our service?

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* 8. How long have you known about our service?

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* 9. If you could, how would you change or improve ECRH?

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* 10. Do you have any other comments, questions, or concerns?