(860) 849-9099
Perfect Care Inc

Client Satisfaction Survey

Your experience matters to us. Please take 2–3 minutes to share your thoughts so we can continue improving our home healthcare services.

About Your Care

How long have you been receiving our services?*

What services are you receiving? (Select all that apply)

Your Experience

How would you rate the overall quality of care?*

Our caregivers treat me with respect and dignity:

Staff professionalism meets my expectations:

Communication

Care instructions and services are clearly explained:

How responsive are we to your questions or concerns?

Reliability

Caregivers arrive on time:

Scheduling of services is reliable:

Safety & Comfort

I feel safe receiving care at home:

I feel comfortable with my caregiver(s):

Overall Satisfaction

Overall, how satisfied are you with our services?*

Would you recommend our services to others?

Your Feedback

What do you like most about our services?

What can we improve?

Additional comments (optional):

Follow-Up (Optional)

May we contact you about your feedback?

Fields marked * are required.