Clearly Speaking Family Feedback Survey
*
1.
Which clinician did you see?
(Required.)
Lisa Mitchell
Mary Dowd
Julia Recine
Jillian Nichols
Nicole Duclos
Mollie Gwinn
Hannah Karen
John Madigan
Rebekah Duperry
Haley Baxter
Kayla Hansen
2.
Which location did you receive services?
Londonderry
Hampton Falls
Dover
3.
What did you like most about the clinician?
4.
How was your overall experience at Clearly Speaking?
*
5.
How likely are you to recommend Clearly Speaking to other families?
(Required.)
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
*
6.
I thought the knowledge of the speech pathologist was:
(Required.)
Poor
Adequate
Good
Excellent
7.
How helpful were the strategies provided by the therapist to support your child's speech development at home?
Extremely helpful
Very helpful
Somewhat helpful
Not so helpful
Not at all helpful
8.
How would you rate the service you received from the staff at our office?
Excellent
Very good
Good
Fair
Poor
9.
How was the professionalism of our office managers?
Extremely professional
Very professional
Somewhat professional
Not so professional
Not at all professional
10.
Do you have any additional comments or suggestions for Clearly Speaking?