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PLEASE FILL OUT QUICK SURVEY FORM
ALL FIELDS ARE REQUIRED!

To ensure the highest level of care, client satisfaction surveys are periodically collected and reviewed. Harmony Homes of Miami uses the survey results to maintain the highest level of performance possible. We will keep all information private and confidential. Please take a moment to let us know how you feel about Harmony Homes of Miami We are dedicated to giving you the friendliest most professional service available.

How would you rate the services you received from Harmony Homes of Miami?
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If home health care services were needed again, would you use Harmony Homes of Miami?
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How would you rate our ability to answer your questions when contacting us?
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Please select an it How satisfied are you with the services you received for the following disciplines? If you did not receive this type of service please select "Service Not Applicable".

A value is requ
Skilled Nursing Service
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Speech Therapy Services?
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Physical Therapy Services?
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Social Services?
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Occupational Therapy Services?
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Home Health Aide Services?
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Overall satisfaction with Harmony Homes of Miami?
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Additional Comments or Recommendations


Please tell us how to contact you? (Optional)
Patient Name:
Patient Number: (if known)
Phone Number:
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