Out of our commitment to serve the community and clients we work with better, we request your participation in answering a few questions regarding the quality of our services.

Avia Employment Services is a division of Back in Motion Rehab Inc.

How are we Doing?

Question Title

* 1. How are we Doing?

  Agree Neutral Disagree N/A
Services were easy for me to access
I received service in a timely manner
The service I received met my needs
I am satisfied with the quality of service
Staff was professional and knowledgeable
Rate your overall experience

Question Title

* 2. Rate your overall experience

Would you recommend Avia to others?

Question Title

* 3. Would you recommend Avia to others?

Please list any service(s) you used at Avia

Question Title

* 4. Please list any service(s) you used at Avia

General Comments

Question Title

* 5. General Comments

Do you authorize Avia to use your comments for marketing and/or research purposes (i.e. brochures, newsletters, website, quality assurance, internal reports, etc.)?

Question Title

* 6. Do you authorize Avia to use your comments for marketing and/or research purposes (i.e. brochures, newsletters, website, quality assurance, internal reports, etc.)?

If you have authorized Avia to use your Personal or Company name for marketing or research purposes, please provide the following information:

Question Title

* 7. If you have authorized Avia to use your Personal or Company name for marketing or research purposes, please provide the following information:

Thank you for participating in this survey!

Please note, when you click the DONE button, the survey will loop back to the start (for those who need to enter multiple surveys). Any responses and comments you provided will be saved.

T