Customer Feedback Survey

Question Title

* 1. How did you first hear about Audiology South?

I have used Audiology South services before

I was referred by someone who has used Audiology South services before

Medical referral (for example ENT Specialist/GP

Newspaper or letter based advertising

Website, Facebook, or other digital advertising

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* 2. How was the service provided to you from our reception desk?

	Poor	Below Average	Average	Very good	Excellent
Friendly and warm greeting	Friendly and warm greeting Poor	Friendly and warm greeting Below Average	Friendly and warm greeting Average	Friendly and warm greeting Very good	Friendly and warm greeting Excellent
Helpful	Helpful Poor	Helpful Below Average	Helpful Average	Helpful Very good	Helpful Excellent
Knowledgeable about the services and products offered	Knowledgeable about the services and products offered Poor	Knowledgeable about the services and products offered Below Average	Knowledgeable about the services and products offered Average	Knowledgeable about the services and products offered Very good	Knowledgeable about the services and products offered Excellent
Overall presentation of the clinic	Overall presentation of the clinic Poor	Overall presentation of the clinic Below Average	Overall presentation of the clinic Average	Overall presentation of the clinic Very good	Overall presentation of the clinic Excellent
Did you find receiving a text or phone reminder helpful	Did you find receiving a text or phone reminder helpful Poor	Did you find receiving a text or phone reminder helpful Below Average	Did you find receiving a text or phone reminder helpful Average	Did you find receiving a text or phone reminder helpful Very good	Did you find receiving a text or phone reminder helpful Excellent

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* 3. Was your spouse/family member or close friend encouraged to attend the appointment with you?

Yes

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* 4. How was the service provided to you at your last appointment at Audiology South?

	Poor	Below average	Average	Very good	Excellent
Greeted in a timely, efficient manner	Greeted in a timely, efficient manner Poor	Greeted in a timely, efficient manner Below average	Greeted in a timely, efficient manner Average	Greeted in a timely, efficient manner Very good	Greeted in a timely, efficient manner Excellent
How would you rate the service provided by your audiologist	How would you rate the service provided by your audiologist Poor	How would you rate the service provided by your audiologist Below average	How would you rate the service provided by your audiologist Average	How would you rate the service provided by your audiologist Very good	How would you rate the service provided by your audiologist Excellent
How well did the audiologist listen to your needs	How well did the audiologist listen to your needs Poor	How well did the audiologist listen to your needs Below average	How well did the audiologist listen to your needs Average	How well did the audiologist listen to your needs Very good	How well did the audiologist listen to your needs Excellent
How clear were our products/services explained to you	How clear were our products/services explained to you Poor	How clear were our products/services explained to you Below average	How clear were our products/services explained to you Average	How clear were our products/services explained to you Very good	How clear were our products/services explained to you Excellent
Did the outcome of the appointment meet your expectation	Did the outcome of the appointment meet your expectation Poor	Did the outcome of the appointment meet your expectation Below average	Did the outcome of the appointment meet your expectation Average	Did the outcome of the appointment meet your expectation Very good	Did the outcome of the appointment meet your expectation Excellent

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* 5. Would you recommend Audiology South to your friends/family?

Not at all

Likely

Most likely

Highly likely

Definitely

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* 6. If you could change 1 thing about our services or products, what would it be?

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* 7. Are there any other comments you would like to make?

Thank you for taking part in this survey. This helps us to continue to improve our service delivery and we value all your feedback

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* 8. Do you wish to enter the draw to win a Xmas hamper worth $150?

Yes

Customer Feedback Survey

Dear Client,

Question Title

* 1. How did you first hear about Audiology South?

Question Title

* 2. How was the service provided to you from our reception desk?

Question Title

* 3. Was your spouse/family member or close friend encouraged to attend the appointment with you?

Question Title

* 4. How was the service provided to you at your last appointment at Audiology South?

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* 5. Would you recommend Audiology South to your friends/family?

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* 6. If you could change 1 thing about our services or products, what would it be?

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* 7. Are there any other comments you would like to make?

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* 8. Do you wish to enter the draw to win a Xmas hamper worth $150?