Client First Name
Client Last Name
Client Mobile number
Client Email
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I am the Client
I am the representative
The information about HCA Home Care is easy to understand
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The client portal is easy to use and navigate
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My Care Partner is friendly, accessible and helpful
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Setting up my services is simple and uncomplicated
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Ongoing management is simple and uncomplicated
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
HCA Home Care’s overall service meets my expectations
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
What aspects of our service do you like?
What aspects of our service can we improve?
What would you like to see added to our services?
Any other comments?
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Yes, I agree to the terms above