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Client Survey
Thank you for choosing Boardwalk Homecare as your home care provider.
Your feedback is very important to us. Please take a moment to complete this short 5-question survey.
We truly appreciate your time and assistance!
Respondent's Name
Client Name
Please rate the Office Staff *
Excellent
Very Good
Fair
Poor
Please rate the Case Manager
Excellent
Very Good
Fair
Poor
Please rate the Caregiver
Excellent
Very Good
Fair
Poor
Please rate the Response Time to Questions, Concerns and Problems
Excellent
Very Good
Fair
Poor
Please rate the Overall Quality of Service
Excellent
Very Good
Fair
Poor
Please describe any positive aspects to your experience with Boardwalk Homecare that stood out.
Please describe any negative aspects to your experience with Boardwalk Homecare that stood out.
Submit
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Caregiver Compatibility
Orientation Meeting
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