1.How likely are you to recommend the Therapy SPOT?

Very likely

Likely

Neither likely nor unlikely

Unlikely

Very unlikely

2.Which of the following best describes you?

Child is a current patient at the Therapy SPOT

Child is a former patient of the Therapy SPOT

Inquired about the Therapy SPOT's services for my child in the past

Interested in receiving therapy services for my child 

3.Is your child currently receiving any of the following services in a clinic setting (check all that apply)?

Speech Therapy

Physical Therapy

Occupational Therapy

4.If your child currently receives therapy in a clinic setting, what factors lead you to choose the current therapy clinic over another clinic?

5.Compared to other therapy clinics, is our service quality better, worse, or about the same?

A great deal better

Quite a bit better

Somewhat better

About the same

Somewhat worse

Quite a bit worse

A great deal worse

Don't know

6.When you’re considering therapy clinics in this area, what are the top two things you generally consider? (Check two boxes.)

Price

Experience

Personal Recommendation

Appointment availability or scheduling 

Location

Other (specify)

7.Overall, how would you rate the quality of your customer service experience?

Very positive

Somewhat positive

Neutral

Somewhat negative

Very negative

8.Overall, are you satisfied with the therapists at our company, neither satisfied nor dissatisfied with them, or dissatisfied with them?

Extremely satisfied

Moderately satisfied

Slightly satisfied

Neither satisfied nor dissatisfied

Slightly dissatisfied

Moderately dissatisfied

Extremely dissatisfied

9.How satisfied are you with your child's progress during therapy?

Extremely Satisifed

Moderate Satisfied

Somewhat Satisfied

Neither Satisfied nor Dissatisfied

Somewhat Dissatisfied

Moderately Dissatisfied

Extremely Dissatisfied

Not Applicable

10.How did you hear about the Therapy SPOT?

Professional Referral (doctor, psychologist, etc)

Personal Referral (friend, family member, etc)

Internet search

Insurance company 

Other (please specify)