Expanded In-Home Services for the Elderly Program (EISEP)
Client Satisfaction Survey
for the Personal Emergency Response System provided by Connect America

As a recipient of IN-HOME and CASE MANAGEMENT SERVICES from the Saratoga County Department of Aging & Youth Services, we need your help in evaluating the services that we are providing to you. This survey asks for your opinion and is strictly confidential. This information will only be used to help us improve our services.
Aging Survey EISEP-CA
CASE MANAGEMENT SERVICES - The following questions relate to your Case Manager
IN-HOME SERVICES - The following questions relate to the Personal Emergency Response System provided by Connect America
If you would like to be contacted regarding your responses to this survey, please provide your name & number:

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