Home Care Services Feedback Question Title * 1. How did you hear about our home care services? Internet Friend or Family Advertisement Healthcare Provider Other Question Title * 2. Which of our services could you use? Select all that apply Bathing Cooking Cleaning Dressing/Undressing Hygiene Laundry Pet Care Companionship Question Title * 3. How Often Do You Care for an Elderly Person Very Often Often Sometimes Not at all Question Title * 4. How likely is it that you would recommend this service to a friend or colleague? Not at all likely Extremely likely 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 Question Title * 5. What improvements would you suggest for home care agencies? Question Title * 6. Do you feel our services help maintain a good quality of life for the elderly? Yes, definitely Somewhat Not really Not at all Question Title * 7. Please Share What Kind of Care/Help You are Needing. Question Title * 8. Are You Looking For Employment with VCG? Yes No Question Title * 9. Please enter your email if you would like to enter our drawing. Done