Apple Therapy Patient Satisfaction Survey

Your answers are confidential and, when combined with other patient responses, will help improve our services. We appreciate your participation - thank you.

Question Title

* 1. How would you rate the overall quality of your care?

Very high quality

High quality

Neither high nor low quality

Low quality

Very low quality

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* 2. How confident did you feel that your therapist was knowledgeable and skilled in treating your condition?

Extremely confident

Very confident

Somewhat confident

Not so confident

Not at all confident

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* 3. Did you agree treatment was adapted for your individual needs?

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

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* 4. How satisfied are you with the quality of information and education you received over the course of your care?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

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* 5. How satisfied are you with the procedures of scheduling and time it took to get your first appointment?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

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* 6. Overall, how would you rate the service you received at the reception area of our office?

Excellent

Very good

Good

Fair

Poor

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* 7. How would you rate the overall cleanliness of our practice?

Excellent

Good

Fair

Poor

Very poor

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* 8. What are we doing especially well?

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* 9. What can we do to improve?

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* 10. How likely is it that you would recommend Apple Therapy to a friend or family member?

NOT AT ALL LIKELY

EXTREMELY LIKELY