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You have recently received services from Zutan Home HealthCare, Inc. We want to ensure that we continue to provide quality care to you and your loved ones. You can help us to improve our services by responding to the following questions.

Rating Questions Excellent Good Average Fair Poor
(1.) Did nurse, therapist, and/or aide provide courteous service?
(2.) Did staff members call prior to visit?
(3.) Did you have the same staff member most of the time?
(4.) Did the agency provide the service that you expected?
(5.) Did you feel that you learned enough about your health problems and medicine?
(6.) Were you told when service changed or was going to end?
(7.) Your overall rating of the agency was:
Date