GENESIS ASSESSMENT SATISFACTION SURVEY

1.Overall, how satisfied or dissatisfied were you with your last visit to Genesis Programs Inc?(Required.)
2.How easy or difficult was it to schedule an appointment at a time that was convenient for you?(Required.)
3.Did your appointment with the assigned Clinician start early, late or on time?
4.In your opinion, how convenient is the location of our Facility?(Required.)
5.How comfortable was the lobby and waiting area?(Required.)
6.Please indicate your level of satisfaction with the following items related to the Receptionist.(Required.)
Very satisfied
Satisfied
Neither satisfied nor dissatisfied 
Dissatisfied
Very Dissatisfied
Welcoming
Professionalism
Attentiveness 
Friendliness and Courtesy
Overall Customer Service Experience 
7.How well did the Clinician listen to your needs?(Required.)
8.How responsive was the Clinician when answering your questions?
9.How clear did the Clinician explain your treatment options?(Required.)
10.How much do you trust the recommendations of the Clinician?(Required.)
11.How satisfied or dissatisfied were you with the amount of time the Clinician spent with you addressing your needs?(Required.)
12.Overall, how would you rate the care you received from the Clinician?(Required.)
13.
On a scale of 0 to 10,
How likely is it that you would recommend Genesis Programs to a friend or family member?
0 for Not at all likely, 10 for Extremely likely
(Required.)
Not at all likelyExtremely likely
14.Is there anything we could have done to improve your last visit?(Required.)
Privacy & Cookie Notice