Outpatient Survey

CARE & COMFORT recognizes that client satisfaction is of importance for our continuation and growth as a therapeutic service provider.  We are interested in
your comments, and value your input.

 

 

 

CARE & COMFORT defines quality as not just meeting, but exceeding the client’s expectations.  The following brief survey has been developed so that you can share with us your feelings and comments regarding the services you have received.

 

 

 

Please take a moment to fill out this anonymous survey.

 

 

 

1.

What Therapy are you receiving?

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2.

Please select one for your Therapist.

Excellent GoodFairPoor
Attendance
Punctuality
Quality of Work
Attitude
Appearance
Cooperation

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3.

Is/was your Therapist discussing and working towards goals specified on your Treatment Plan?

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4.

Were you included in the establishment of your plan of care for the theraputic services that are/were provided to you?

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5.

Was the explanation of how Outpatient Therapy works beneficial to you?

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6.

Are you seeing progress, as identified in your Treatment Plan?

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7.

When you call the office, are you treated courteously?

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8.

Do you get your questions/concerns taken care of in a timely manner?

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9.

How would you rate the overall responsiveness of Administration?

Excellent GoodFairPoor

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10.

Are/Were you satisfied with the services provided by our agency?

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11.

Would you recommend Care & Comfort to others?

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12.

(Optional) Name(s) of your Therapist(s)


13.

Thank you for taking the time to complete our survey.  We appreciate your valued input.  Please let us know what we can do to improve our services.


14.

Care & Comfort offers a range of services for Home Health, Mental Health, and Home Modifications.  If you would like more information on any of our services, please contact your local Care & Comfort office.

 

Mental Health – Services include Outpatient Therapy, In-Home Supports for children with a mental health diagnosis or mental retardation or Autism, and Case Management services.

 

Home Health –This service is available to clients needing nursing services, personal care assistance, and light housekeeping.  This can be a private pay service, Mainecare, or private insurance.  Personal Support Specialist (PSS), Certified Nurse Assistant (CNA), Licensed Practical Nurses (LPN), or Registered Nurses (RN) are available.

 

Caring Companions – This service is available to clients who want assistance with household services and errands, such as shopping, meal preparation, transportation, organization or cleaning, house sitting, holiday help, and respite care/companionship.

 

Home Modification Specialists of Maine – No job is too small for the Home Modification Team – painting, yard work, gardening, installing or removing air conditioners, basic house repairs, decks, ceilings, roofs, installing ramps, grab bars, hand-held showers, widening doorways, and performing other adaptive aids.