Survey - Jovic Homes

Client Satisfaction Survey

JOVIC HOMES is extremely interested in your evaluation of the services your child and you have received. It would be appreciated if you would take the survey. Your answers will assist us in improving our services to you.

Thank You for taking the Client Satisfaction Survey. This survey will take less than three minutes of your time.

INSTRUCTONS: Please check the number that most accurately expresses your feelings about our services using the following Legends. Legends: 4 star= Completely Satisfied; 3 star= somewhat satisfied; 2 star= somewhat dissatisfied; and 1 star= Dissatisfied.

How satisfied are you that your concerns are addressed by staff regarding your care?^*

How satisfied are you with the notice you are given regarding your staffing?^*

How satisfied are you with the opportunity given to you to give input into the staffing?^*

How satisfied are you with the responsiveness of staff to your input?^*

How satisfied are you that staff has shown genuine concern in their contact with you?^*

How satisfied are you of the safety of the facility?^*

How satisfied are you with the cleanliness of the facility?^*

How satisfied are you that the staff has been courteous to you?^*

How satisfied are you with the program, services and activities provided for you?^*

Overall, how satisfied are you with the services you have received?^*

Comment

To assist us in further improving our care, it would be helpful if you would complete the following information:

Full Name^*

Email^*

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866-618-9988

Client Satisfaction Survey

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