Exit this survey Client Feedback How did you hear about Skill Builders? Question Title * 1. How did you hear about Skill Builders? Doctor Referral Word of Mouth Road Sign Advertising Yellow Pages Google / Website Radio Advertising Other Other (please specify) Please check off the services you have used: Question Title * 2. Please check off the services you have used: Physiotherapy Occupational Therapy Massage Therapy Driver Rehabilitation Dizziness/Vestibular Psychology Dietitian Services Tell us about your experience with our client services team. Question Title * 3. Tell us about your experience with our client services team. Extremely Satisfied Satisfied Dissatisfied Not Applicable Greeted Courteously Greeted Courteously Extremely Satisfied Greeted Courteously Satisfied Greeted Courteously Dissatisfied Greeted Courteously Not Applicable Booked First Appointment within 48 hrs of Calling Booked First Appointment within 48 hrs of Calling Extremely Satisfied Booked First Appointment within 48 hrs of Calling Satisfied Booked First Appointment within 48 hrs of Calling Dissatisfied Booked First Appointment within 48 hrs of Calling Not Applicable Efforts to Accommodate Your Needs for Follow Up Appointments Efforts to Accommodate Your Needs for Follow Up Appointments Extremely Satisfied Efforts to Accommodate Your Needs for Follow Up Appointments Satisfied Efforts to Accommodate Your Needs for Follow Up Appointments Dissatisfied Efforts to Accommodate Your Needs for Follow Up Appointments Not Applicable Explained Fees and Process Clearly Explained Fees and Process Clearly Extremely Satisfied Explained Fees and Process Clearly Satisfied Explained Fees and Process Clearly Dissatisfied Explained Fees and Process Clearly Not Applicable Phone Mannerism Phone Mannerism Extremely Satisfied Phone Mannerism Satisfied Phone Mannerism Dissatisfied Phone Mannerism Not Applicable Other Comments Tell us about your experience with your therapist. Question Title * 4. Tell us about your experience with your therapist. Extremely Satisfied Satisfied Dissatisfied Punctuality Punctuality Extremely Satisfied Punctuality Satisfied Punctuality Dissatisfied Professionalism Professionalism Extremely Satisfied Professionalism Satisfied Professionalism Dissatisfied Treatment Clearly Explained Treatment Clearly Explained Extremely Satisfied Treatment Clearly Explained Satisfied Treatment Clearly Explained Dissatisfied Provided Education on your Condition Provided Education on your Condition Extremely Satisfied Provided Education on your Condition Satisfied Provided Education on your Condition Dissatisfied Explained Recovery Process / Goals Explained Recovery Process / Goals Extremely Satisfied Explained Recovery Process / Goals Satisfied Explained Recovery Process / Goals Dissatisfied Therapist Name How would you rate your condition since attending our clinic? Question Title * 5. How would you rate your condition since attending our clinic? Fully Recovered Better Same Worse Would you recommend your therapist / our company to a friend, family member or colleague? Question Title * 6. Would you recommend your therapist / our company to a friend, family member or colleague? Yes No If no, why not? Were you satisfied with the cleanliness of the following? Question Title * 7. Were you satisfied with the cleanliness of the following? Satisfied Dissatisfied Not Applicable Gym Gym Satisfied Gym Dissatisfied Gym Not Applicable Treatment Room Treatment Room Satisfied Treatment Room Dissatisfied Treatment Room Not Applicable Washroom Washroom Satisfied Washroom Dissatisfied Washroom Not Applicable Waiting Room Waiting Room Satisfied Waiting Room Dissatisfied Waiting Room Not Applicable What things are important to you when attending a clinic for therapy? Question Title * 8. What things are important to you when attending a clinic for therapy? How often do you use the following methods of communication Question Title * 9. How often do you use the following methods of communication Daily Weekly Occasionally Never Smartphone Texting Smartphone Texting Daily Smartphone Texting Weekly Smartphone Texting Occasionally Smartphone Texting Never Smartphone Data (internet) Smartphone Data (internet) Daily Smartphone Data (internet) Weekly Smartphone Data (internet) Occasionally Smartphone Data (internet) Never Home Internet Home Internet Daily Home Internet Weekly Home Internet Occasionally Home Internet Never Home Phone Home Phone Daily Home Phone Weekly Home Phone Occasionally Home Phone Never Tell Us About You: Question Title * 10. Tell Us About You: Age Group Gender Radio Interests Your Location About you: 0-20 21-34 35-54 55-65 65+ About you: Age Group menu Male Female About you: Gender menu Kool 107.5 Rock 95 B101 Chay 93 Country Kicx 105.9 The Dock 104.1 CBC Radio Other About you: Radio Interests menu Barrie Within 1/2 hr drive to Barrie Within 1 hr drive to Barrie Over 1 hour drive About you: Your Location menu Done