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  1. Surveys
  2. 2010
  3. June
  4. H
  5. HCD Support Box Satisfaction Survey
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Client Name & Date:
   
 
 
 
How long have you had a Support Box in your home?
 
1-6 months
 
6 months - 1 year
 
More than 1 year
 
It has been returned
 
 
 
How many staff do you employ?
   
 
 
 
Is the support box set to
 
Scheduled visits
 
Freestyle
 
Both
 
 
 
Does your support box have a red panic button?
 
Yes
 
No
 
 
Please rate the following features on the support box:
Poor Below Average Average Good Excellent N/A
Panic Button
Missed visit alarm
Temperature Alarm
The display screen
No Timesheets
clocking in/clocking out
24hr in advance visit display
on-line visit monitoring
Easy to use
Overall
 
 
 
Have you encounted any problems:
   
 
 
How would you rate you satisfaction with the support box in your home:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Design
Features
Employee use
Company support
 
 
 
What suggestions do you have or improvements would you like to see made?
   
 
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