Thank you for submitting this form. We will respond to you shortly. 11https://altairhealthcareforms.co.uk/wp-content/plugins/nex-forms-express-wp-form-builderfalsemessagehttps://altairhealthcareforms.co.uk/wp-admin/admin-ajax.phphttps://altairhealthcareforms.co.ukyes1fadeInfadeOutJob Interest FormPanel HeadingService User Feedback FormIf you have become a client with Altair Healthcare, or have worked in some other way with us, we would like to hear what you thought about the experience.We wish to gauge more about your experience with Altair Healthcare so that we can improve our service, and would be grateful if you could kindly complete this short survey.We aim to provide a service that is safe, effective, caring, responsive and well-led while promoting a culture of openness and fairness.Service User DetailsSuffix--- Select ---MrMrsMsMissRevProfDrOther*Name*SurnameSAFE:CQC Definition of Safe: "People are protected from abuse and avoidable harm”Do you consider the service provided by Altair Healthcare Limited to be 'Safe'?.Yes.NoComments (or Suggestions for Improvement):EFFECTIVE:CQC Definition of Effective: “people’s care, treatment and support achieve good outcomes, promotes a good quality of life and is evidence-based where possible”Do you consider the service provided by Altair Healthcare Limited to be 'Effective'?.Yes.NoComments (or Suggestions for Improvement):CARING:CQC Definition of Caring: “staff involve people and treat people with compassion, kindness, dignity and respect”Do you consider the service provided by Altair Healthcare Limited to be 'Caring'?.Yes.NoComments (or Suggestions for Improvement):RESPONSIVE:CQC Definition of Responsive: “services are organised so that they meet people’s needs"Do you consider the service provided by Altair Healthcare Limited to be 'Responsive'?.Yes.NoComments (or Suggestions for Improvement):WELL-LED:CQC Definition of Well-Led: “the leadership, management and governance of the organisation assures the delivery of high-quality person-centred care, supports learning and innovation, and promotes an open and fair culture”Do you consider the service provided by Altair Healthcare Limited to be 'Well-Led'?.Yes.NoComments (or Suggestions for Improvement):PERFORMANCE RATING:How would you rate our overall performance in your experience?Rating1 = Poor; 2 = Needs Improvement; 3 = Adequate; 4 = Very Good; 5 = Excellent Have we achieved what we promised you?.Yes.NoWould you recommend Altair Healthcare to a colleague, family member, or friend?.Yes.NoAny other comments (or Suggestions for Improvement):Would you like to upload any document(s) as part of this feedback?.Yes.NoPlease use this space to upload your document(s).File Upload (Multiple files allowed) Xdoc,docx,mpg,mpeg,mp3,mp4,odt,odp,ods,pdf,ppt,pptx,txt,xls,xlsx,jpg,jpeg,png,psd,tif,tiff Do you allow us to publish this feedback?.Yes.NoThis form was completed by:--- Select ---Service UserFamily Member/FriendPartner AgencyName of Partner Agency:Suffix--- Select ---MrMrsMsMissRevProfDrOtherName & SurnameEmailPhoneSignatureDate:Submit