Homeshare Exit Feedback Form

Email Address*

Householder*

Homesharer*

Lenth of Match (Months)

Reflecting on your experience in our homeshare program on the scale below, could you tell us how satisfied you were with this experience?
Very satisfiedSomewhat satisfiedNeither satisfied nor dissatisfiedSomewhat dissatisfiedVery dissatisfied

Please explain your answer

Have you any comments you would like to make about your experience in relation to the following.

The assessment processes you went through before your match:

The process of introduction to your match partner:

Negotiating the agreement with your match partner:

The way the match ended and how the staff assisted in the match closure:

Are there services or support that you think we should have supplied to you?
YesNo

If you answered Yes, please tell us what the support or services would have been?

Are there any other ways in which we could improve our homeshare program? Please feel free to be as frank as possible.

Would you recommend participation in this homeshare program to anyone else?
YesNo