Care Home Feedback Form

Use this Care Home Feedback Form to gather feedback on care services, facilities, staff interactions, meals, etc. to measure overall resident satisfaction.

Care Home Feedback Form



Accommodation, Living Areas And Environment

1. Comfort


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2. Privacy


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3. Furnishings


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5. Accessibility


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6. Security


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7. Garden Area


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8. Temperature Control


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Meals

1. Variety of Food


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2. Quality of Food


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3. Quantity of Food


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4. Choice of Menu


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5. Quality of Service


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6. Presentation of Food


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Care And Staff Professionalism

1. What is your opinion of our care team?


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2. Approachability


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3. Courtesy


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4. Caring Attitude


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5. Presentable Appearance


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6. Friendliness


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7. Professionalism


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Housekeeping

1. Cleanliness in Living Areas


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2. Cleanliness in Toilet Areas


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3. Laundry Services


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Social Activities

1. Programme


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2. Social Events


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3. External Outings


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4. Aromatherapy


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5. Hairdressing Services


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6. Religious Services


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7. Do you feel comfortable inviting and entertaining family and friends within the home?


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8. If you wish to maintain links with the community do we support you in this, such as visiting family, attending church or clubs?


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9. Do you feel your social, cultural and religious beliefs are recognized and respected?


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Comments, Suggestions And Complaints

1. Comments, suggestions and complaints


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