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Welcome to Mated Care
the leading nursing agency in Shrewsbury!
Staff Feedback Form
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From MatedCare
As we endeavour to gain feedback on our staff, we use this this form for Quality Assurance Purposes. We would be grateful if you could use this form to feedback on any members of staff who has visited your business.
Full Name (leave blank for (Anonymous)
First
Last
Company Name (if applicable)
Email
Phone
The name of the Staff Member
*
How would you rate their CARING NATURE?
*
Excellent
Good
Adequate
Poor
How would you rate their PRESENTATION? (the uniform is ironed and clean, wearing jewellery that is not suitable for a care environment, etc.)
*
Excellent
Good
Adequate
Poor
How would you rate their PUNCTUALITY?
*
Excellent
Good
Adequate
Poor
How would you rate their SKILLS?
*
Excellent
Good
Adequate
Poor
How would you rate their CO-OPERATIVENESS?
*
Excellent
Good
Adequate
Poor
How would you rate their OVERALL SUITABILITY?
*
Excellent
Good
Adequate
Poor
Comments
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