Adapt OT Customer Feedback Form
Tell us how we are doing.
We like to keep improving our Occupational Therapy service.
1.
Adapt OT focuses on my chosen goals.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
2.
Adapt OT listens and responds to my questions.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
3.
I am making gains towards my goals.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
4.
Adapt OT are clear when they give me information.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
5.
I am happy with Adapt OT's service.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
6.
Please add comments if you would like to provide additional feedback. Please leave your name and phone number if you would like us to phone to discuss further.
Current Progress,
0 of 6 answered