Client SurveyClient SurveyDate Survey Completed:(Required) DD dash MM dash YYYY Clients Name:(Required) First Last Client Area:(Required)NewcastleCastlewellanSeaforde/Loughinsland/BallykinlarDrumanessBallynahinchBelfastDownpatrickCrossgarKillyleaghSaintfieldBallygowanComberDundonaldSurvey 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 No2. 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. Are your carers wearing their PPE/Protective equipment(for example apron, gloves and or mask when required) when they attend your calls?(Required) Yes No4. Do you feel the carers attending your calls, treat you with dignity and respect?(Required) Yes No5. 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. Poor6. Have you ever had a late or missed call?(Required) Yes No6.2 – Was this reported to the office?(Required) Yes No6.3 Please detail if it was a late or missed call and how it was reported.(Required)7. Do you know who to contact if you have a concern regarding your package of care?(Required) Yes No8. Any Additional Comments(Required)
