Adaptations Survey

CUSTOMER QUESTIONNAIRE - ADAPTATIONS

We like you to have input into the way repairs are carried out to your home. By answering these questions and returning this questionnaire, you can let us know your views on the service we provide and help us to improve.

All completed and returned questionnaires are entered in to a monthly prize draw for £100.


Job No:
1. Please select below the latest adaptation work you have had completed:
Adaptation Work
Other Please State
2. Thinking about the adaption work(s) completed, how would you rate it in terms of...?
a) Helpfulness of Occupational Therapy staff
b) Being told when contractors would call
c) Time taken before work started
d) Speed with which work was completed
e) Contractors' ability to keep appointments
f) Quality of information before the works
g) Quality of information during the work
h) Attitude of workers
i) Overall quality of the work completed
j) Keeping dirt and mess to a minimum
4. Other questions ?
a) Did the worker(s) show an ID Card
b) Was the repair complete in one visit ?
c) If 'no', were you informed when another worker would call ?
5. Satisfaction
a) How satisfied are you that the work has made it easier for you to live in your home
b) Overall, how satisfied are you with the Adaptations process ?
c) Generally, how satisfied are you with A1 Housing ?
Please comment on any of your answers or list any suggestions you feel will improve our adaptation service
Comments	Comments
Address
Please compelte this section by ticking the relevant option. Diversity information will help us to improve our service
Your Gender
Your Age
Do you have a disability ?
If 'Yes', please comment further
Your Ethnic Origin
Any other Ethnic Group
email address*
Send

Adaptations Survey

Text Size