Chicago Psych Therapy Group Patient Satisfaction Survey

Please fill out the survey to better improve our care to our patients. All answers are 100% anonymous and HIPAA compliant. 
1.Who is your provider at the Chicago Psych Therapy Group?
2.Overall, how satisfied or dissatisfied were you with your last visit to our office?
3.
On a scale of 0 to 10,
How likely is it that you would recommend your provider to a friend or family member?
0 for Not at all likely, 10 for Extremely likely
Not at all likelyExtremely likely
4.Did your appointment with your provider start early, late or on time?
5.Overall, how would you rate the care you received from your provider?
6.How well did your provider listen to your needs?
7.How well did your provider explain your treatment options?
8.How well did your provider answer your questions?
9.Do you have concerns you would like to speak to someone about? If so, please give the best phone number to reach you at.