You are a Consumer

Consumer Homepage

You can mail your survey to:
Ohio Home Care Program
Program Management Services
Quality Improvement
2760 Airport Rd.
Suite 130
Columbus, Ohio 43219

Consumer Satisfaction Survey

Let us know what you think about your Case Manager and Services, or anything else you think we should know. Your feedback will help us provide the best quality of service possible.

Consumer Name
Case Manager Name
Date

1.	How often does your case manager return your calls by the end of the next business day?
	Always Usually Sometimes
	Not at All No Opinion / Blank

2.	How satisfied are you with the level of respect shown to you by your case manager?
	Extremely Satisfied Very Satisfied
	Somewhat Satisfied Not at All Satisfied No Opinion / Blank

3.	How involved are you in planning for the services that you are receiving?
	Always Involved Usually Involved Sometimes Involved
	Never Involved No Opinion / Blank

4.	How satisfied are you with how well your case manager understands your specific needs?
	Extremely Satisfied Very Satisfied
	Somewhat Satisfied Not at All Satisfied No Opinion / Blank

5.	Overall, how satisfied are you with the services that CareStar provides?
	Extremely Satisfied Very Satisfied
	Somewhat Satisfied Not at All Satisfied No Opinion / Blank

6.	If a friend were in need of similar help, would you recommend CareStar to him or her?
	Definitely Likely
	Maybe Probably Not No Opinion / Blank

	Do you have any comments about CareStar or your Case Manager?


Do you have any comments about your services or provider?