Answer the questions below if the placement will finish in the next 3 weeks. 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? * On what date 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 Thank You for your feedback. We will be in contact shortly.