Customer Satisfaction Survey Question Title * 1. The courtesy you experienced with our front office staff was? Very Good Good Average Below Average Question Title * 2. Ease of Scheduling? Very Good Good Average Below Average Question Title * 3. The courtesy of our staff was? Very Good Good Average Below Average Question Title * 4. Explanation of your problem and how your therapist planned to help you? Very Good Good Average Below Average Question Title * 5. Respect for my confidentiality/privacy? Very Good Good Average Below Average Question Title * 6. Cleanliness? Very Good Good Average Below Average Question Title * 7. Overall Quality of Care and Service? Very Good Good Average Below Average Question Title * 8. What percent improvement did you experience with treatment? 80-100% better 60-80% better 50-60% better 50% or below Question Title * 9. How soon were you able to make your first appointment? 24-48 hours 48-72 hours One week More than One week Question Title * 10. What did we do well with your care? and/or what could we have done better? Done