Did the quality of care you received meet your expectations?
Yes
No
The response you received from the staff was
1
2
3
4
5
PoorExcellent
The timeliness/responsiveness of your caregiver(s)
1
2
3
4
5
PoorExcellent
The professionalism of the staff was:
1
2
3
4
5
PoorExcellent
The professionalism of your caregiver(s) was:
1
2
3
4
5
PoorExcellent
The care you received in your home was :
1
2
3
4
5
PoorExcellent
Will you continue to use Royal Care Service?
Yes
No
N/A
Would you recommend Royal Care Service to a friend or family member?
Yes
No
Were there any outstanding RCS employee(s) you would like to comment about? why?
Please share your overall opinion of us as well as any suggestions you have which may help us help others in the future:
Personal information (optional)
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