1. In the past month, how many scheduled visits were delayed or missed?

2. Does your current plan adapt when your loved one's needs change?

3. How clear and useful are your current provider's shift reports?

Select a star rating (1 = Poor, 5 = Excellent)

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4. How well does your provider handle urgent, last-minute requests?

5. Overall, how confident are you in your provider's reliability and trustworthiness?

Select a star rating (1 = Not confident, 5 = Very confident)

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