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SafetyCulture
Template

Service User Survey

by Krushan Khajanchi, from the Community

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Use this Service User Survey template to gather structured feedback from people receiving care. It aligns to CQC domains—Safe, Effective, Caring, Responsive, and Well-led—covering medicines, dignity, consent, staffing, care planning, and complaints handling. The form supports anonymous responses and assisted completion, helping providers monitor quality, involve families, and plan improvements across home care, community services, and care homes. Customize items, track scores, and document comments to evidence compliance and drive service improvement.

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.