AHHC Family Survey

This brief survey is to help us evaluate our relationships with our families. Your feedback is sincerely appreciated and it is confidential so please feel free to give honest, candid answers. Feedback and comments are thoroughly reviewed so that we may work on any areas in need of improvement. The survey should not take much time to complete but the responses will be invaluable to us as we strive to make AHHC a great service provider. Thank you for your help!

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* 1. Have you had home care service with any agency other than AHHC?

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* 2. For those of you who have used other home care agencies, how do you feel AHHC compares to the other agencies in general.

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* 3. In regards to your schedule, are you happy with the team of nurses & schedule the Staffing Coordinators work out for you generally? (mark all that apply)

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* 4. Staffing Coordinators are on the phone pretty much non-stop all day long with caregivers and families. How do you feel about your ability to communicate effectively with Julie. (mark all that apply)

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* 5. Describe your relationship with your Staffing Coordinator. (mark all that apply)

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* 6. How do you feel about the nurses in your home? (mark all that apply)

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* 7. Nursing Supervisors are on in & out of the office quite a bit with interviews & the visits they make to client's homes. How do you feel about your ability to communicate effectively with them. (mark all that apply)

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* 8. Describe your relationship with your Nursing Supervisor. (mark all that apply)

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* 9. Members of the Administrative team that work during the day also fields urgent calls in the evening and on weekends. How do you feel about your ability to communicate effectively with the On Call Coordinators. (mark all that apply)

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* 10. If you've had occasion to talk with any other members of the Administrative Team OTHER THAN YOUR PRIMARY CONTACTS how have those interaction been. (mark all that apply)

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* 11. Is there any information that you feel would be helpful for us to review with new families prior to starting care, anything that you wish someone would have discussed with you prior to starting care?

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* 12. Is there anything you feel would be helpful for us to share with nurses new to working in the field of home care?

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* 13. Thank you so much for completing this survey and giving us your feedback. Do you have any final comments or is there anything else that you would like to share that you feel would help us to be a better agency?

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