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. How did you first hear about Cosy Home Care?Word-of-mouth referral from friendOnline forum/discussion boardOnline search (e.g., Google, Yahoo, Bing)Social media (e.g., Facebook, Twitter)Other (please specify)3. How long have you been involved with Cosy Home Care?Less than six monthsSix months to a year1 - 2 years3 or more years4. How often do you meet/get in touch with the Cosy Home Care staff?A few times a weekA few times a monthAbout once a weekOnce a month5. Do you feel our services are reliable when referring clients?YesNo6. How useful is the support and information received from Cosy Home Care during the referral process?Extremely usefulSomewhat usefulVery usefulNot at all useful7. Has anything changed since your clients started services with Cosy Home Care? How happy are clients with the services? Example - physical health and emotional well-being Choice- knowing where to get help and information, if needed, for a range of probl8. How would you compare Cosy Home Care to similar support agencies you have used?9. Do you have any comments, questions or concerns?10. Contact details (Optional)NameEmail AddressPhone NumberCaptcha *reCAPTCHA is required.Send Now