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Fiscal Year 23

Homecare Client Satisfaction Survey

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* 1. Is the KIPDA office staff knowledgeable, respectful, and easy to interact with when you call the KIPDA Area Agency on Aging?

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* 2. When you first started getting KIPDA Homecare, did someone from the agency discuss the care and services that are available?

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* 3. Is the KIPDA office staff easily accessible?

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* 4. Who is your KIPDA Case Manager?

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* 5. In the last 2 months, have you had contact with your Case Manager?

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* 6. Does your Case Manager clearly explain the Homecare program and services?

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* 7. Does your Case Manager take your calls, resolve problems , and answer your questions in a timely manner?

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* 8. Does your KIPDA Case Manager talk with you about various community services that when the need arises, would help you stay at home?

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* 9. Is your Case Manager able to deal with challenging situations?

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* 10. Does your Case Manager treat you with respect?

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* 11. Would you recommend KIPDA to a friend or family member who needs Homecare Services?

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* 12. Who is your current Homecare agency?

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* 13. How often does your aide arrive on time and on the scheduled day(s)?

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* 14. How often are you contacted by the aide's employer if there is a change in your aide's schedule?

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* 15. In general, does your aide take an interest in you as a person?

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* 16. Do you feel like you can trust your aide?

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* 17. Is your aide knowledgeable of the specific services you need?

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* 18. Does your aide handle your belongings and furnishings with care?

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* 19. Would you recommend your aide to a friend or family member who needs Homecare services?

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* 20. How would you rate your care from the providers?

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* 21. Do KIPDA services improve your overall quality of life?

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* 22. Do you believe KIPDA services increase/maintain your independence?

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* 23. Are you safe in your home/apartment?

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* 24. Have KIPDA services helped you in preventing possible hospitalization?

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* 25. In general, how would you rate your overall physical health?

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* 26. In general how would you rate your overall mental or emotional health?

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* 27. What is your race? Please select one or more

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* 28. What is your gender?

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* 29. What is your age? 

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* 30. Did someone help you complete this survey?

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* 31. How did the person help you?  Check all that apply:

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