Diabetes/Chronic Disease Client Satisfaction Survey

At Dilico Health Services, we depend on your comments and suggestions to help us better meet our client needs and make improvements based on your feedback. All responses will be kept confidential unless you choose to provide your name.






3. What types of services are you receiving and how would you rate the quality of care? (please check service AND rating)

Service

Please feel free to elaborate on services in the "Comments" section on bottom of page.


5. How would you rate your provider's care? (please check service AND rating)

Service



If YES, please enter your contact information below: