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?