Advinia Feedback Form

Thank you for taking the time to complete our feedback questionnaire - we use the feedback our customers supply to continually improve our service so your comments are extremely valuable to us.

General
First Name:
Surname:
Address:
Postcode:
Date of Arrival (dd/mm/yyyy):
Name of care home (if relevant):
Room number (if relevant):
Before coming to the home was the information sent to you?
Whose decision was most important in you coming to an Advinia care home?
If 'Other', please specify:

Admission
Courtesy of management staff:
Waiting time in reception:
Introduction to your room:
Time of day you were admitted:
How convenient was your admission time?
Comments:

Bedroom
Comfort:
Cleanliness:
Lighting:
Quietness:
Ventilation:
Heating:

Care Staff
Appearance:
Professionalism:
Promptness:
Cheerfulness:
Courtesy:
Communication:

Other Staff
Manager:
Care Staff:
Admin Staff:
Cleaning Staff:
Kitchen Staff:

Food
Mealtimes:
Choice of menu:
Appetising:
Attractive:
Quantity:
Snacks/cakes:

Services
Television:
Music:
Hairdressing:
Choice of Activities:
Would you recommend  the home to others?      

Comments
Do you feel that you are involved in the decisions made about the care you or your relative receives in the home?
Do you or your relative have enough control over their lives?
What aspect of the standard of care at the home do you most appreciate?
What aspect of the standard care at the home do you least appreciate?
Do you have any suggestions for improvement?
Do you have any complaints that have not been dealt with appropriately?