Home Healthcare Service Feedback Form

Delivering exceptional home healthcare means listening to the people who matter most—your clients and their families. This Home Healthcare Service Feedback Form makes it simple to capture detailed insights about caregiver professionalism, care plan adherence, and family communication quality, so you can identify what's working and where to improve.

Whether you're managing a team of caregivers or running a growing home health agency, consistent feedback is the foundation of trust and quality. This template is designed for home healthcare providers, senior care services, nursing agencies, and disability support organizations who want to maintain high standards while building stronger relationships with the families they serve.

The form includes sections covering caregiver punctuality and appearance, communication skills, respect for client preferences, and how well the care plan is being followed. You'll also gather feedback on how effectively your team communicates with family members, whether concerns are addressed promptly, and overall satisfaction with the service.

With Paperform, you can customize this template to match your brand, add conditional questions based on service types, and automate follow-up workflows. Connect it to your CRM or project management tools, trigger alerts when satisfaction scores drop, or use Stepper to route feedback to the right team members and create action plans automatically.

Built for busy care coordinators and client services teams, this template helps you turn feedback into better care—without adding more admin work to your day.