* 1. How did you hear about Skill Builders?

* 2. Please check off the services you have used:

* 3. Tell us about your experience with our client services team.

  Extremely Satisfied Satisfied Dissatisfied Not Applicable
Greeted Courteously
Booked First Appointment within 48 hrs of Calling
Efforts to Accommodate Your Needs for Follow Up Appointments
Explained Fees and Process Clearly
Phone Mannerism

* 4. Tell us about your experience with your therapist.

  Extremely Satisfied Satisfied Dissatisfied
Treatment Clearly Explained
Provided Education on your Condition
Explained Recovery Process / Goals

* 5. How would you rate your condition since attending our clinic?

* 6. Would you recommend your therapist / our company to a friend, family member or colleague?

* 7. Were you satisfied with the cleanliness of the following?

  Satisfied Dissatisfied Not Applicable
Treatment Room
Waiting Room

* 8. What things are important to you when attending a clinic for therapy?

* 9. How often do you use the following methods of communication

  Daily Weekly Occasionally Never
Smartphone Texting
Smartphone Data (internet)
Home Internet
Home Phone