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>> We are concerned with your opinion
Your Name:
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Your occupation:
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1 - Have you easily found our organism ?

Your contact :
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Have you easily found our organism ? :
Yes
No
  *
How ?:


2 - Certification

Has our certification influenced your choice?:
Yes
No
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If not, why?:


3 - Reception. Have you been satisfied with our reception in the following services :

Our opening hours :
very satisfied
satisfied
rather dissatisfied
very dissatisfied
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Kind and polite reception from the persons welcoming :
very satisfied
satisfied
rather dissatisfied
very dissatisfied
  *
Contact with the person corresponding to your request :
very satisfied
satisfied
rather dissatisfied
very dissatisfied
  *


4 - Presentation of our services. Have you been informed properly about:

a) Our different services:
Yes
No
  *
b) The advantage and inconvenience which can occur in the interventions:
Yes
No
  *
c) Our terms and conditions:
Yes
No
  *
d) The role of the home assistants:
Yes
No
  *


5 - Your individual needs assessment

a) Do you wish a technical visit at your home before signing the contract ?:
Yes
No
  *
If not, why?:
b) Do you think this visit at home is :
useful
not very useful
useless
  *
c) Was the individual needs assessment adequate with your initial demand?:
Yes
No
  *
* Required field

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