Did the assessor clearly explain the nature and purpose of today’s assessment?(Required)
Did the assessor conduct himself/herself in a professional manner?(Required)
Were you provided with the opportunity to present all of your concerns and respond to all questions from the assessor during the assessment?(Required)
Prior to this assessment did you receive a reminder call?(Required)
If transportation services were arranged to get you to and from the assessment were they on time and courteous?(Required)
If interpreter services were used during your assessment were they effective in assisting you to communicate with the assessor?(Required)
Do you feel that you have had adequate information provided to you to accurately conclude your assessment opinion?(Required)
If you wish to be contacted by a member of management regarding any feedback you may have and/or to lay a formal complaint, please indicate “YES” and complete the following section:(Required)
MM slash DD slash YYYY
Your Name