HOW ARE WE DOING?

Question Title

* 1. Client Name (Optional):

Question Title

* 2. Therapy Service (PT, OT, SLP): 

Question Title

* 3. Therapist (s): 

Question Title

* 4. Relationship to client (Self, Parent, etc.):

This survey is indented to help identify ways MECA Therapies can improve as a company, and as a way to assess how satisfied you were with the services that were provided to you and your child. Your feedback is very important to us and is crucial to our future success, so please be as honest as possible in your responses. Also know that all gathered information is for internal purposes only and will not be disclosed or discussed with outside sources.

Question Title

* 5. Please rate the friendliness of our front office staff.

Question Title

* 6. How would you rank the courtesy of the therapist?

Question Title

* 7. How concerned was the therapists for your well being?

Question Title

* 8. Did the therapists introduce themselves to you personally?

Question Title

* 9. Was the evaluation and treatment you received adequately explained? ((i.e., expectations, time frames, etc.)

Question Title

* 10. Were responses provided for your questions and concerns?

Question Title

* 11. Was your dignity and feelings respected?

Question Title

* 12. Was the therapist courteous, respectful and did they seem concerned about you?

Question Title

* 13. Were appointments scheduled to your convenience?

Question Title

* 14. Did the services begin promptly when you arrived for your appointment?

Question Title

* 15. Did you trust and have confidence in your clinician?

Question Title

* 16. Was the service and the attention consistent?

Question Title

* 17. Did your therapist communicate with your doctor regarding the therapy process?

Question Title

* 18. How would you rank the cleanliness of the facility?

Question Title

* 19. How would you rank the atmosphere of the facility?

Question Title

* 20. How would you rank the handling of insurance and billing by clinic staff?

Question Title

* 21. How would you rank your overall impression of MECA Therapies?

Question Title

* 22. What could we have done to make your visit better?

Question Title

* 23. What did you like the most about MECA Therapies?

Question Title

* 24. What did you like the least about MECA Therapies?

Question Title

* 25. If any individual gave you outstanding attention, please let us know so we can commend that person. Also, if you would like to share some constructive criticism, let us know, and we will seek appropriate solutions.

T