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How is our service?
Quality of services form
Client and or caregiver name
First
Last
Date
Date Format: MM slash DD slash YYYY
Do you feel IAAY is easy to contact?
*
Yes
No
Do you feel that the needs and wants are being met and provided at IAAY?
*
Yes
No
Does your support worker arrive on time and stay for the specified time?
*
Yes
No
Do you feel your support worker is involved and engaged in the success of the individual?
*
Yes
No
Have you any suggestions how IAAY can improve services?
How do you view the quality of IAAY service?
*
Poor
Good
Excellent
How would you like us to get in touch with you?
*
Please Choose an option...
Email
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