BelfastReviewTargeted ReviewDate Targeted Review Completed:(Required) DD dash MM dash YYYY Completed By:(Required)Joanne MorganNadine CheeversRachel DeeryFiona KaneClients Name:(Required) First Last Client Area:(Required)NewcastleCastlewellanSeaforde/Loughinsland/BallykinlarDrumanessBallynahinchBelfastDownpatrickCrossgarKillyleaghSaintfieldBallygowanComberDundonaldReview Completed With: Client as listed above NOK OtherPlease list the Name of NOK or other person completing survey on behalf of client:1. Do you feel satisfied/happy with the quality of care you are receiving from our carers and Lydian Care at this time?(Required) Yes NoIf No please detail2. On a scale of 1 being excellent, 2 being good, 3 being fair and 4 being poor how would you rate the quality of the care you receive?(Required) 1. Excellent 2. Good 3. Fair 4. Poor3. On a scale of 1 being excellent, 2 being good, 3 being fair and 4 being poor how would you rate your call times?(Required) 1. Excellent 2. Good 3. Fair 4. Poor4. Do you feel your call times are usually around the same time each day?(Required) Yes NoIf no please detail(Required)5. Do you feel the carers attending your calls, treat you with dignity and respect?(Required) Yes NoIf no please detail(Required)6. Do you feel the carers spend adequate time with you completing tasks and you are not rushed?(Required) Yes NoIf no please detail(Required)7. On a scale of 1 being excellent, 2 being good, 3 being fair and 4 being poor how would you rate the dignity and respect shown?(Required) 1. Excellent 2. Good 3. Fair 4. Poor8. Have you ever had a missed call?(Required) Yes No9. Do you know who to contact if you have a concern regarding your package of care?(Required) Yes NoIf no please detail(Required)10. Any Additional Comments(Required)
