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Patient Satifaction Survey Form
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Patient Satisfaction Survey

Inspeccion de Satisfaccion del paciente




It is important to us at Dependable Home Care to have your opinions about the care that we have given you. We are continuously trying to improve our services. Please take a few minutes to answer the questions below and return it in the envelope provided. Thank you.


Es importante para nostros en Dependable Home Care obtener su opinion sobre el cuido y servicio prestado a usted. Estamos continuamente tratando de mejorar services. Le pedimos que tome unos minutos para darle respuestas a unas preguntas y devuelva el fbrmulario en el sobre includio. Muchas gracias!


Questions
Preguntas

Did staff treat you courteously?
Fue tratado cortesmente?

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Were you satisfied with the care provided to you?
Esta satisfecho con el servicio proporcionado?

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Did the staff come on time to provide service?
Fue punctual el o la trabajadora?

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Were you treated with respect with all aspects of care?
Le trataron con respeto en todo aspecto de su cuido?

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If you had a problem or complaint, did you know how to contact our agency?
Si usted tiene u problema o una queja, sabe como comunicarse con nuestra agencia?

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Did the staff answer the phone promptly and was your call directed to the right person the first time?
Si llamo a la agencia, le respodieron rapidamente y fue dirigida a la apropiada persona la primera vez?

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Do you think Home Care helped you?
Piensa usted que el cuido en su hogar le ayudo?

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Comments
Comentarios

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Please type the text you see in the box. Our apologies, but we must do this to keep the form spam out.

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Thank you for completing the survey


NY Metro Service Area

Our nurses, aides, therapists, and social workers are caring for patients in all of the boroughs of NY city and the surrounding region including:

  • Manhattan
  • Queens
  • Brooklyn
  • Bronx
  • Staten Island
  • Nassau County

We provide service 24 hours a day, 7 days a week.

In Home Evaluation

Every patient has different needs and situation. It is important to have a qualified professional help decide the services needed. Take advantage of our no-cost, no-obligation patient needs assessment.

  • We come to you to evaluate the patient's needs in the home setting.
  • We bring all the forms necessary, and handle insurance and medicaid processing.
  • It costs you nothing.
  • Please fill out our pre-assessment form or call

718 499 6066

to shedule a free no obligation appointment in the home

Find out more ...

Multilingual Staff

We have many nurses and aides on staff that are multilingual. We recognize that communication is key to quality health care, so we will be sure to send staff that can communicate with the patient and family and understand all the patients needs. We have staff members that speak: 

  • English
  • Spanish
  • French
  • Italian
  • Cantonese (Chinese)
  • Mandarin (Chinese)
  • Creole

Specially Trained Staff

Our staff is trained to provide care patients with special needs such as:

  • Geriatric Care
  • HiV/AIDS
  • Palliative Cancer Care
  • Psychiatric Care
  • Dialysis Care
  • Rehabilitative Care

We Accept These Plans & Programs

We have experience with approval and billing management for all third party pay arrangements. Our payment staff will help organize and expedite the application process, and we'll get caring staff providing service as the approval process progresses. We accept:

  • Insurance
  • Worker's Compensation
  • No Fault
  • Disability
  • Managed Care
  • Private Pay