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About
Parent/Care Provider Satisfaction
To complete the form below, all questions must be answered, except as noted.
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First Name
*
Last Name
*
Email Address
*
Are you a
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Parent
Care Provider
1. Are you happy with the quality of services LTC delivers to your son/daughter/resident?
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2. Do you feel the working environment is safe?
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Yes
No
Comments (optional)
3. Are phone calls returned in a timely manner?
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Yes
No
Comments (optional)
4. What job goals do you have for your son/daughter/resident?
*
5. What services would you like to see improved at LTC?
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6. How can we improve our services?
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7. Does your son/daughter/resident require additional services to improve their quality of life?
*
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