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Client Satisfaction Survey

* is a required field

  Today's Date*  
  The transportation I requested was initiated within a satisfactory time period.*   Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
  I am involved in the process of scheduling the time to be transported.*   Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
  I am satisfied with the driver.*   Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
  I am satisfied with the facilities (vehicle).*   Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
  I arrived at my scheduled appt in a timely way *   Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
  This company responds to my urgent or emergency needs.*   Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
  I feel respected and understood by the drivers within this program.*   Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
  The transportation experience feels safe and is helpful.*   Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
  Overall, I am satisfied with the Community Care-A-Vans.*   Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
  What do we do well, and how can we do a better job for you?*  
     

 

 
Community Care-A-Vans, 50 Walton St.Attleboro, MA 02703, Phone: 508-223-1672
Copyright 2006 Community Care-A-Vans