If you are human, leave this field blank.1. How likely is it that you would recommend this company to a friend or colleague?0123456789102. Overall, how satisfied or dissatisfied are you with our company?Very satisfiedSomewhat satisfiedNeither satisfied nor dissatisfiedSomewhat dissatisfiedVery dissatisfied3. How did you hear of us/find us?Recommended by friend/colleagueNewspaper/magazine articleSocial MediaGoogle SearchEvent4. Which of the following services have you received or accessed in the past 12 months?Clinical CareHousehold TasksLife-skillsCommunity AccessCompanionshipPersonal Care5. How responsive have we been to your questions or concerns about our services?Extremely responsiveVery responsiveSomewhat responsiveNot so responsiveNot at all responsive6. How long have you been a client of our company?Less than six monthsSix months to a year1 - 2 years3 or more years7. In the past 12 months, how frequently have you accessed or received services from our organization?WeeklyMonthlyEvery 3-6 monthsEvery 6 months or less8. Do you have any other comments, questions, or concerns?9. Who you like to give us a small review that we can put on our website?10. Contact details (Optional)NameEmail AddressPhone NumberCaptcha *reCAPTCHA is required.Submit
