Feedback Form – KI Care Ltd

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1. Which KI Care Ltd service(s) are you currently using or have used in the past?Hourly CareLive-in CareOther (Please specify below):

2.Tell Us About You Gender Identity:MaleFemalePrefer not to say

Age Group:0-1516-2425-3435-4445-5455-6465-7475-8485+

Ethnic Background:WhiteMixed/Multiple Ethnic GroupsAsian/Asian BritishBlack/African/Caribbean/Black BritishPrefer not to say

How did you hear about KI Care Ltd?

CQC Standards – Your Experience

How would you rate our safety standards?

1. Safe: "People are protected from abuse and avoidable harm."

Comments (Optional):

2. Effective: "Care, treatment, and support achieve good outcomes."

Comments (Optional):

3. Caring: "Staff treat people with compassion, kindness, dignity, and respect."

Comments (Optional):

4. Responsive: "Services meet individual needs."

Comments (Optional):

5. Well-Led: "Leadership ensures high-quality, person-centred care."

Comments (Optional):

Your Personal Experience with KI Care Ltd

1. Was your initial assessment clear and informative?YesNoN/A

2. Did carers respect your choices and care needs?Yes, alwaysMostlySometimesRarelyNever

3. How well do you and the KI Care Ltd team communicate?

4. Did carers arrive on time for scheduled visits?AlwaysMostlySometimesRarelyNever

5. How would you rate carers’ professionalism and competence?

6. Did carers follow your care plan as agreed?Yes, alwaysMostlySometimesRarelyNo, never

7. Did we respect your confidentiality and privacy?YesNo

8. How responsive was our team to your concerns?AlwaysMostlySometimesRarelyNever

Your Overall Satisfaction

1. Would you recommend KI Care Ltd to others?Very LikelyLikelyNeutralUnlikelyVery Unlikely

2. How would you rate our overall performance?

3. Did we meet your expectations?YesNo

4. If a friend or family member asked, "Would you recommend KI Care Ltd?"YesNo

Comments (Optional):

5. Do you have any additional feedback or suggestions?

6. Do you wish for your comments to remain private?YesNo

Thank You for Your Feedback!

Your insights help us grow and improve to provide outstanding care.

At KI Care Ltd, we are more than a care provider—we are a trusted family of professionals committed to delivering exceptional, person-centred home care.

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Monday – Friday: 9:00 AM – 5:30 PM
Saturday – Sunday: Closed

56 St. Mary’s Priory Road, Coventry, CV6 4BF, UK

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