# Care service comment card survey

Understand comment-card instructions.

If nothing was unclear or difficult, say so. Skip questions about steps you did not experience; use not applicable where appropriate.

## 1. What experience did the card ask about?

Answer: ____________________

## 2. Which response instruction was unclear?

Answer: ____________________

## 3. What handling explanation was missing?

Answer: ____________________

## Author notes / illustrative keys where applicable

1. Read for survey scope. Keep the specific explanation in the respondent’s own words rather than converting it into an unexplained overall satisfaction score.
2. Read for response clarity. Keep the specific explanation in the respondent’s own words rather than converting it into an unexplained overall satisfaction score.
3. Read for handling information. Keep the specific explanation in the respondent’s own words rather than converting it into an unexplained overall satisfaction score.

Interpretation caution: Do not assert anonymity without verification.