Part 4 – Answer these questions when you or your family/employer have given notice to finish the placement.

Note: ALHomecare will not share your answers with anyone without first asking you for your permission in writing - except if we think that you or the client could be at serious risk.

What is your name?

First Name

Last Name

Who has given notice to finish the placement: the family or the carer or is it a mutual decision?

When was notice given?

MM

DD

YYYY

Why has notice been given?

Is there anything that ALHomecare can do to resolve any issue to help the placement continue?

Do you have a complaint or serious problem that you want to discuss with ALHomecare’s Placement Success Manager, Elina Venardou? Write you complaint or serious problem in the box above or email Elina Venardou directly at success@alhomecare.ie