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Surveys

Axis Family Resources Ltd. > Surveys  > New Survey

New Survey: Experience of Services Survey for Others - Stakeholders, family members or referral sources

 
Date Completed *
Name of person completing survey
What is your connection to the Person Served or Program? *
Name of the program you are providing feedback about *
Name of the Person Served you are providing feedback about
Axis Office Location *
1.
  No, not at all   Yes, the information was very useful
  12345
Was the information you received about the program useful in your decision-making for your family member or Person Served? 
2.
  No, not at all satisfied   Yes, very satisfied
  12345
Were you satisfied with the time frame for admission to services for the person served? 
3.
  Never   Definitely
  12345
Would you recommend the program to someone you know, or to another Person Served? 
4.
  No, not at all satisfied   Yes, very satisfied
  12345
Were you satisfied with the services and/or care your family member or client received from the program? 
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