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Payer/Referral Source Satisfaction Survey

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  Today's Date*  
  I know whom to contact at Community Care-A-Vans when I have a question.*   Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
 
  My contact is easily accessible to me.*   Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
  IMy contact provides me with timely information.*   Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
  Community Care-A-Vans staff members act as partners in their work with me.*   Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
  I am satisfied with the quality of service my clients and I receive from Community Care-A-Vans*   Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable
  Would you make a referral to us again?*   Yes
No
 
  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