Respite Care Services, Inc. Satisfaction Survey How likely is it that you would recommend this company to a friend or colleague? Question Title * 1. How likely is it that you would recommend this company to a friend or colleague? NOT AT ALL LIKELY EXTREMELY LIKELY 0 1 2 3 4 5 6 7 8 9 10 Not at all likely - 0 1 2 3 4 5 6 7 8 9 Extremely likely - 10 OK Overall, how satisfied or dissatisfied are you with our company? Question Title * 2. Overall, how satisfied or dissatisfied are you with our company? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied OK Please share any positive experiences you have had with Respite Care Services. Question Title * 3. Please share any positive experiences you have had with Respite Care Services. OK Please share any suggestions/feedback that you have to help us improve our services. Question Title * 4. Please share any suggestions/feedback that you have to help us improve our services. OK How are you acquainted with Respite Care Services? Question Title * 5. How are you acquainted with Respite Care Services? Individual Receiving Services Parent/Guardian/Family Member of Individual Receiving Services Employee Case Manager or other Team Member of Individual Receiving Services Donor Board Member Community Member OK DONE