Your name

Your email

First Response
At your initial enquiry was the response from Norfolk Affinity Care Services Ltd ...
ProfessionalCaringCourteousKnowledgeableOff HandRude

First Visit
At your first visit was the staff member ...
On timePreparedKnowledgeable

Your Carers
On the first day did they ...
Inspire ConfidenceGive Appropriate InformationLeave a Service User Guide and Contact Details

Your Carers
were they ...
On timeCourteous and KindProfessionalConfidentUnhelpfulUncommunicativeOverpowering

Would You Prefer a Different staff member?
YesNo

Would you like a visit to discuss your care?
YesNo

Any otherComments (optional)
Please be assured that your comments are seen only by members of the senior management team who will take seriously any comments which indicate that an unacceptable standard of care is being delivered. Please use the space below to communicate any other comments you may have including compliments about individual staff members.