Client Satisfaction Survey

Comfort Care in Illinois

This survey is important and will only take a few minutes of your time. This will allow us to see where we need to improve on our services in order to provide the best care possible to our patients.

The admission process was clear and comfortable.

• Strongly Agree
• Agree
• Disagree
• Strongly Disagree
• Not Applicable

When I call office,the call is answered with a pleasent attitude and a willingness to help.

• Strongly Agree
• Agree
• Disagree
• Strongly Disagree
• Not Applicable

My CNA is helpful and respectful.

• Strongly Agree
• Agree
• Disagree
• Strongly Disagree
• Not Applicable

My RN is helpful and respectful.

• Strongly Agree
• Agree
• Disagree
• Strongly Disagree
• Not Applicable

The Chaplain is helpful and respectful.

• Strongly Agree
• Agree
• Disagree
• Strongly Disagree
• Not Applicable

The Social Worker is helpful and respectful.

• Strongly Agree
• Agree
• Disagree
• Strongly Disagree
• Not Applicable

Would you refer Divine Hospice & Palliative Care to others? (Select one)

• Yes
• No

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