HOME HEALTH CUSTOMER SATISFACTION SURVEY HOME HEALTH CUSTOMER SATISFACTION SURVEY When you first started getting home health care from this agency, did someone from the agency tell you what care and services you would get? When you first started getting home health care from this agency, did someone from the agency tell you what care and services you would get? Yes No Do Not Remember When you first started getting home health care from this agency, did someone from the agency talk with you about how to set up your home so you can move around safely? When you first started getting home health care from this agency, did someone from the agency talk with you about how to set up your home so you can move around safely? Yes No Do Not Remember When you started getting home health care from this agency, did someone from the agency talk with you about all the prescription and over-the-counter medicines you were taking? When you started getting home health care from this agency, did someone from the agency talk with you about all the prescription and over-the-counter medicines you were taking? Yes No Do Not Remember In the last 2 months of care, did home health providers from this agency talk with you about the purpose for taking your new or changed prescription medicines? In the last 2 months of care, did home health providers from this agency talk with you about the purpose for taking your new or changed prescription medicines? Yes No I did not take any new prescription medicines or change any medicines In the last 2 months of care, did home health providers from this agency talk with you about when to take these medicines? In the last 2 months of care, did home health providers from this agency talk with you about when to take these medicines? Yes No I did not take any new prescription medicines or change any medicines In the last 2 months of care, did you and a home health provider from this agency talk about pain? In the last 2 months of care, did you and a home health provider from this agency talk about pain? Yes No In the last 2 months of care, how often did home health providers from this agency keep you informed about when they would arrive at your home? In the last 2 months of care, how often did home health providers from this agency keep you informed about when they would arrive at your home? Never Sometimes Usually Always In the last 2 months of care, how often did home health providers from this agency listen carefully to you? In the last 2 months of care, how often did home health providers from this agency listen carefully to you? Never Sometimes Usually Always In the last 2 months of care, how often did home health providers from this agency treat you with courtesy and respect? In the last 2 months of care, how often did home health providers from this agency treat you with courtesy and respect? Never Sometimes Usually Always In the last 2 months of care, when you contacted this agency's office did you get the help or advice you needed? In the last 2 months of care, when you contacted this agency's office did you get the help or advice you needed? Yes No I did not contact this agency When you contacted this agency's office, how long did it take for you to get the help or advice you needed? When you contacted this agency's office, how long did it take for you to get the help or advice you needed? Same Day 1 to 5 days 6 to 14 days More than 14 days I did not contact this agency Would you recommend this agency to your family or friends if they needed home health care? Would you recommend this agency to your family or friends if they needed home health care? Definitely No Probably No Probably Yes Definitely Yes CLICK HERE TO SUBMIT SURVEY