How will my answers be used?
Depending on your survey answers we may need to contact you to get clarification. If you do not want to be contacted you can indicate that on your survey.
Will my responses be anonymous?
It's up to you.
When we take action on your responses we will make every attempt to do so in a way that will not identify you, however, staff may still be able to recognize you based on your responses.
If you would like to complete the survey but absolutely do not want your answers shared with staff we will respect that. This may limit what actions we can immediately take to address your comments.
Is it OK to contact you about your survey responses in order to get clarification or attempt to resolve an issue?
Yes - I want someone to contact me
Yes - Only if necessary
No - DO NOT contact me about this survey
How would you prefer to be contacted? What are the best times to reach you?
Calls and Emails
Do Not Call or Email
If absolutely necessary, is it OK to share your responses with location staff?
Please rate our services on a scale from 1 to 5 with 5 being the highest rating:
Does staff treat you with courtesy and respect?
1 - Very Poor
2 - Poor
3 - Average
4 - Above Average
5 - Excellent
Does staff treat your loved one with courtesy and respect?
How would you rate communication by our staff?
How would you rate Avalon's activity program?
How would you rate the quality & preparation of the food?
Is your loved-one's room kept clean?
Are the common areas of our home well-kept?
Is your resident's room in good repair?
Are the grounds clean, well-groomed and well lit?
Would you recommend our services to another community member?
May we use some of your comments for testimonials on our website, printed ads or brochures?
If you have any questions about this quality improvement program please contact us at firstname.lastname@example.org.