Client Satisfaction Survey- EPA Hespeler

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1. Who was your EPA provider?

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2. List three things about our services that you appreciated the most.

1.

2.

3.

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3. List three things about our services which we could improve on.

1.

2.

3.

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4. Please evaluate how well our facility and administrative team met your expectations

	1 (below expectations)	2	3	4	5 (above expectations)
Our office staff is courteous	Our office staff is courteous 1 (below expectations)	Our office staff is courteous 2	Our office staff is courteous 3	Our office staff is courteous 4	Our office staff is courteous 5 (above expectations)
It was easy to book an appointment	It was easy to book an appointment 1 (below expectations)	It was easy to book an appointment 2	It was easy to book an appointment 3	It was easy to book an appointment 4	It was easy to book an appointment 5 (above expectations)
Our facility was a professional and clean environment	Our facility was a professional and clean environment 1 (below expectations)	Our facility was a professional and clean environment 2	Our facility was a professional and clean environment 3	Our facility was a professional and clean environment 4	Our facility was a professional and clean environment 5 (above expectations)
Value for the fees paid	Value for the fees paid 1 (below expectations)	Value for the fees paid 2	Value for the fees paid 3	Value for the fees paid 4	Value for the fees paid 5 (above expectations)

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5. Please evaluate how well we met your expectations regarding your care and treatment.

	1 (below expectations)	2	3	4	5 (above expectations)
I had confidence in my Health Practitioner's (physio, Kin, or RMT) recommendations	I had confidence in my Health Practitioner's (physio, Kin, or RMT) recommendations 1 (below expectations)	I had confidence in my Health Practitioner's (physio, Kin, or RMT) recommendations 2	I had confidence in my Health Practitioner's (physio, Kin, or RMT) recommendations 3	I had confidence in my Health Practitioner's (physio, Kin, or RMT) recommendations 4	I had confidence in my Health Practitioner's (physio, Kin, or RMT) recommendations 5 (above expectations)
I received an exercise program that helped me	I received an exercise program that helped me 1 (below expectations)	I received an exercise program that helped me 2	I received an exercise program that helped me 3	I received an exercise program that helped me 4	I received an exercise program that helped me 5 (above expectations)
I received treatment that met my goals	I received treatment that met my goals 1 (below expectations)	I received treatment that met my goals 2	I received treatment that met my goals 3	I received treatment that met my goals 4	I received treatment that met my goals 5 (above expectations)
I would return to this facility for another injury	I would return to this facility for another injury 1 (below expectations)	I would return to this facility for another injury 2	I would return to this facility for another injury 3	I would return to this facility for another injury 4	I would return to this facility for another injury 5 (above expectations)
I would recommend this facility to family and/or friends	I would recommend this facility to family and/or friends 1 (below expectations)	I would recommend this facility to family and/or friends 2	I would recommend this facility to family and/or friends 3	I would recommend this facility to family and/or friends 4	I would recommend this facility to family and/or friends 5 (above expectations)

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6. Did you feel that our COVID policies created a safe and welcoming treatment environment?

Far above average

Above average

Average

Below average

Far below average

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7. Please feel free to leave any additional comments as we value your feedback.

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8. Has physiotherapy put you on Your Path to Improved Health, share your story with us?

Yes, share today with a Google Review

No, thank you