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Application Form

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Personal Information

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Quick Inquiry

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Client Survey

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How long have you used our agency for home care services?
How often do/did you receive our services?*
I am satisfied with the level of customer service I receive from Simple Touches Home Care
I am satisfied with the quality of skilled services I received.*
I feel the staff members were competent and had the skills necessary to care for me.*
I am satisfied with Simple Touches Home Care Staffing/Scheduling Department.*
I am satisfied with the on-call services that are available after hours.*
I am satisfied with Simple Touches Home Care Administration Department.*
Overall, how would you rate Simple Touches Home Care services compared to our competitors?*
How satisfied are you with our services overall?*
I would recommend Simple Touches Home Care services to friends and/or family.*