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FY24 Homecare Client Satisfaction Survey

Fiscal Year 23

Homecare Client Satisfaction Survey
1.Is the KIPDA office staff knowledgeable, respectful, and easy to interact with when you call the KIPDA Area Agency on Aging?
2.When you first started getting KIPDA Homecare, did someone from the agency discuss the care and services that are available?
3.Is the KIPDA office staff easily accessible?
4.Who is your KIPDA Case Manager?
5.In the last 2 months, have you had contact with your Case Manager?
6.Does your Case Manager clearly explain the Homecare program and services?
7.Does your Case Manager take your calls, resolve problems , and answer your questions in a timely manner?
8.Does your KIPDA Case Manager talk with you about various community services that when the need arises, would help you stay at home?
9.Is your Case Manager able to deal with challenging situations?
10.Does your Case Manager treat you with respect?
11.Would you recommend KIPDA to a friend or family member who needs Homecare Services?
12.Who is your current Homecare agency?
13.How often does your aide arrive on time and on the scheduled day(s)?
14.How often are you contacted by the aide's employer if there is a change in your aide's schedule?
15.In general, does your aide take an interest in you as a person?
16.Do you feel like you can trust your aide?
17.Is your aide knowledgeable of the specific services you need?
18.Does your aide handle your belongings and furnishings with care?
19.Would you recommend your aide to a friend or family member who needs Homecare services?
20.How would you rate your care from the providers?
Worst Homecare possible
Best Homecare Possible
21.Do KIPDA services improve your overall quality of life?
22.Do you believe KIPDA services increase/maintain your independence?
23.Are you safe in your home/apartment?
24.Have KIPDA services helped you in preventing possible hospitalization?
25.In general, how would you rate your overall physical health?
26.In general how would you rate your overall mental or emotional health?
27.What is your race? Please select one or more
28.What is your gender?
29.What is your age? 
30.Did someone help you complete this survey?
31.How did the person help you?  Check all that apply: