Tell us what you think
Powered by LeicSurvey™
Your Opinion
LeicSurvey™
Exit
0%
Community Survey Form
Your feedback is central to continued improvement of our services so we can offer high quality of care. We are collecting and using data in accordance with the
LOROS privacy notice
. Please contact the LOROS Information Commissioner at dataprotection@loros.co.uk or 0116 231 3771 if you have any concerns. Click START to continue.
Section 1
Your care at LOROS
We do not ask you to identify yourself in the survey. To maintain the privacy of our staff we request you DO NOT IDENTIFY them by name.
We want you to please rate your satisfaction based on your experience with us.
Click 'NEXT' to start answering the survey.
Which service did you access with LOROS Community?
Volunteer Home Visiting
Motor Neurone Disease (MND)
Doctor’s home visits
Bereavement Hubs
Young Persons and Transition
1. The staff/volunteers from LOROS were polite and friendly
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
2. Staff/Volunteers treated me as a whole person rather than focusing only on my condition/journey
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
3. My individual spiritual, religious and cultural needs were met
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
4. Please use this space to provide any comments about the care you received from LOROS
NOTE: Please DO NOT identify yourself or our staff
Community Survey Form
Section 2
LOROS Staff/Volunteers
5. I was able to talk to staff/volunteers about things that mattered most to me
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
6. I trust staff/volunteers with my care/support
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
7. Staff/Volunteers treated me with dignity, respect and privacy
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
Extremely satisfied
Very satisfied
Somewhat satisfied
Not very satisfied
Not at all satisfied
8. Please use this space to provide any comments about the care you received from LOROS’ staff/volunteers
NOTE: Please DO NOT identify yourself or our staff
Community Survey Form
Section 3
Finally, your thoughts and rating
9. How likely are you to recommend LOROS to others?
Extremely likely
Somewhat likely
Not very likely
Not at all likely
Extremely likely
Somewhat likely
Not very likely
Not at all likely
10. a. I particularly liked
b. It would have been better if
11. How would you rate your overall care/support with LOROS?
Confirmation
Do you want to submit the form and finish the survey?
Cancel
Ok