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2012
July
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Ask-Carol Client Satisfaction Survey
Ask-Carol Client Satisfaction Survey
Ask-Carol!
Satisfaction Survey
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Hello,
Would you please help me by participating in my Client Satisfaction Survey? It will take approximately one minute to complete the questionnaire.
Your responses will be strictly confidential.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Thanks!
Carol
How recently did you contact
Ask-Carol!
for assistance in placing a loved one in assisted living?
1-6 months ago
6-12 months ago
1-2 years ago
More than two years ago
I don't remember contacting
Ask-Carol!
Was
Ask-Carol!
able to answer your questions about assisted living?
Yes
No
I don't remember
Did
Ask-Carol!
provide information on financial assistance programs such as Medicaid and VA pensions?
Yes
No
I don't remember
Did
Ask-Carol!
provide referrals to assisted living communities?
Yes
No
I don't remember
Did you tour any of the facilities that
Ask-Carol!
suggested?
Yes
No
I don't remember
We're the facilities that
Ask-Carol!
suggested appropriate for your needs and the needs of your loved one?
Yes
No
Somewhat
I don't remember
Did your loved one move into an assisted living community that
Ask-Carol!
suggested?
Yes
No
If Yes, which facility? If No, why not?
Would you recommend
Ask-Carol!
to other families?
Yes
No
Not sure
Thank you for your help. You can contact me at
[email protected]
, or visit my website at www.ask-carol.com
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