Audiology Client Survey

1.I received...(Required.)

Hearing Testing

Hearing Aid Services

Cochlear Implant Services

4.Professionalism of the receptionist was appropriate(Required.)

5.Professionalism of the clinician was appropriate(Required.)

7.I experienced quality service while being tested(Required.)

8.Results were explained in a way I could understand(Required.)

9.I would recommend the Center to others(Required.)

Please answer the following questions if you were fit with a hearing aid or cochlear implant:

Overall Experience:

11.Why did you choose the Center?(Required.)

12.The best part about the services I received was...(Required.)

13.How can we change our services to benefit you more?(Required.)

15.Gender:(Required.)

Male

Female

Non-Binary

Prefer Not to Disclose

Thank you for your feedback! We do not release your personal data to anyone.