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07867 790487
Unit F6,St Hilda's Business Centre, The Ropery, Whitby, England, YO22 4ET

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1. Full Name *

First

Last

2. Are our staff respectful? *

Always
Often
Rarely
Never

4. Do you think that the service we provide is safe? *

Always
Often
Rarely
Never

5. Do we help to improve yours or your loved ones health and general wellbeing? *

Always
Often
Rarely
Never

6. Do you think that the service is managed well? *

Always
Often
Rarely
Never

7. Do we provide information that you or your loved one can understand? *

Always
Often
Rarely
Never

8. Do we involve you or your loved one in decisions about their life? *

Always
Often
Rarely
Never

9. How would you rate the communication from Moor and Coast Care? *

Exellent
Good
Needs Improvment
Poor

10. Are you aware of how to complain should you wish to? *

11. If you have raised any concerns, were you agreeable with the response you received? *

Yes
No
Other

12. Do you feel that our staff work in partnership with you? *

Always
Often
Rarely
Never

13. On a scale of 0-5 how likely are you to recommend Moor and Coast to a friend, colleague or family member? *

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

14. Please tell us why *

15. What are we doing well? *

16. What cou Id we do better? *

17. Do you have any other comments? *

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Unit F6,St Hilda's Business Centre, The Ropery, Whitby, England, YO22 4ET
(+44)7867 790487
info@moorandcoastcare.co.uk

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