Client Satisfaction Survey We want to hear from you! Your feedback helps us continually improve your experience, thank you for taking the time to share your opinions with us! OK Question Title * 1. Overall, how satisfied or dissatisfied are you with our clinic? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied OK Question Title * 2. Which of the following words would you use to describe your treatment? Select all that apply. High quality Useful Effective Good value for money Overpriced Timely Ineffective Poor quality Professional OK Question Title * 3. How well did your Therapist listen to your needs? Extremely well Very well Somewhat well Not so well Not at all well OK Question Title * 4. How would you rate our reception staff? Extremely helpful Very helpful Somewhat helpful Not so helpful Not at all helpful OK Question Title * 5. How would you rate the quality of your treatment overall? Very high quality High quality Neither high nor low quality Low quality Very low quality OK Question Title * 6. How responsive have we been to your questions or concerns about your treatment? Extremely responsive Very responsive Somewhat responsive Not so responsive Not at all responsive Not applicable OK Question Title * 7. How long have you been a patient at our clinic? This is my first time Less than six months Six months to a year 1 - 2 years 3 or more years I have been back too many times to count OK Question Title * 8. What type of treatment did you receive? IMS/Acupuncture Manual Therapy/ Manipulation Exercise Ultrasound Massage Therapy OK Question Title * 9. How likely is it that you would recommend South Edmonton Physical Therapy & Sport Rehab to a friend or colleague? NOT AT ALL LIKELY EXTREMELY LIKELY 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 OK Question Title * 10. How are we doing in response to COVID 19? Strongly Agree Agree Disagree Strongly Disagree Unsure I feel safe and comfortable when receiving treatment in the clinic I feel safe and comfortable when receiving treatment in the clinic Strongly Agree I feel safe and comfortable when receiving treatment in the clinic Agree I feel safe and comfortable when receiving treatment in the clinic Disagree I feel safe and comfortable when receiving treatment in the clinic Strongly Disagree I feel safe and comfortable when receiving treatment in the clinic Unsure Information I receive at the clinic is consistent with messaging from Alberta Health Services Information I receive at the clinic is consistent with messaging from Alberta Health Services Strongly Agree Information I receive at the clinic is consistent with messaging from Alberta Health Services Agree Information I receive at the clinic is consistent with messaging from Alberta Health Services Disagree Information I receive at the clinic is consistent with messaging from Alberta Health Services Strongly Disagree Information I receive at the clinic is consistent with messaging from Alberta Health Services Unsure The clinic provides a setting that allows for physical distancing The clinic provides a setting that allows for physical distancing Strongly Agree The clinic provides a setting that allows for physical distancing Agree The clinic provides a setting that allows for physical distancing Disagree The clinic provides a setting that allows for physical distancing Strongly Disagree The clinic provides a setting that allows for physical distancing Unsure The staff are concerned with my well being and safety The staff are concerned with my well being and safety Strongly Agree The staff are concerned with my well being and safety Agree The staff are concerned with my well being and safety Disagree The staff are concerned with my well being and safety Strongly Disagree The staff are concerned with my well being and safety Unsure OK SUBMIT