Vateran and caregiver satisfaction survey

Hello:
You are invited to participate in our survey [Veteran and Caregiver satisfaction]. In this survey, approximately [50] people will be asked to complete a survey that asks questions about your overall satisfaction. It will take approximately [10] minutes to complete the questionnaire.

Your participation in this survey is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this survey will only be shared with appropriate staff. Your information will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Melissa DeHollander] at [585-393-7636] or by email at [email protected]

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

Who is completing this survey?

Veteran

Caregiver

How satisfied are you with the quality of care received at the MADHC program?

Extremely

Somewhat

Not at all

How would you rate the American legion you attend?

Location

Accessibility

Cleanliness

How would you rate the food served while at MADHC?

Excellent

Good

Fair

Poor

How would you rate the activities provided?

Excellent

Good

Fair

Poor

What is the best part of the program?

Row 2

If you had to name one, what is the worst part of the program?

Row 2

If you could change something about the program what would it be?

Row 2

Comments/Suggestions: Please feel free to be completely honest!

Row 2

Row 3