Supporting People Service User Questionnaire

June 30, 2011

A Supporting people service user questionnaire helps to understand how happy or unhappy people are with a supporting plan service. Through the following questions, the plan that the user has subscribed to, the level of satisfaction with the service, the extension of the service, the complaints of the user, etc are obtained for making the supporting people service better.

Sample Supporting People Service User questionnaire:

Name of the user:               ______________________________
Phone number:           ______________________________
Email address:                    ______________________________
Home Address:           _____________________________________________
Q1. Do you have a personal support plan?
a)   Yes
b)   No
Q2. How satisfied are you with the support plan that you are receiving from us?
a)   Very Dissatisfied
b)   Dissatisfied
c)   Neutral
d)   Satisfied
e)   Very Satisfied
Q3. Tick the option where you are receiving our support plan service.
a)   Financial planning
b)   Cleaning and laundry of your home
c)   Shopping for various products
d)   Others, please mention ______________________________________________
Q4. Do you want to extend the plan to an additional service?
a)   Yes
b)   No
Q5. If the answer to the above question is ‘yes’, please mention the service where you need out support plan?
____________________________________________________
Q6. Are you able to continuously get your queries and complaints rectified?
a)   Yes
b)   No
Q7. If the answer to the previous question is ‘no’, please mention where did you face the difficulty.
________________________________________________________
Q8. Do you want us to change any of our policies for making it a better support plan?
a)   Yes
b)   No
If ‘ye’, please mention the policy that you want us to modify
_____________________________________________________________
Q9. Please mention if you have any suggestions / queries / complaints regarding our service.
___________________________________________________

Download Supporting People Service User Questionnaire in Word Format

Top Sample Questionnaire:

Leave a Comment

Previous post:

Next post: