Client Care Survey
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1.
When calling our office(s), how satisfied were you in reaching a staff member.
(Required.)
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
Suggestions
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2.
The front office staff was courteous and helpful during check in and check out.
(Required.)
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
*
3.
Your therapist listened and addressed your main concerns during counseling.
(Required.)
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissastified
*
4.
Please rank your overall experience with Genesis.
(Required.)
Very high quality
High quality
Neither high nor low quality
Low quality
Very low quality
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5.
How likely are you to refer a friend to Genesis?
(Required.)
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
6.
Please list any areas for improvement; i.e., ease of scheduling, billing, therapy, customer service, etc.
7.
Thank you for your referrals and helping us provide even greater client care!
