1. Please indicate the service that you received from CommuniCare Therapy:

2. Please indicate where you received the service.

3. Please indicate the date range in which your services ended:

4. How did you hear about our satisfaction surveys?

5. Did you receive service in the official language of your choice?

6. Did you receive our patient handout on privacy and safety?

7. Please check the response category that best describes your experience with CommuniCare Therapy:

  Strongly Agree Agree Neutral Disagree Not Applicable
I benefited from the service.
Visits were arranged at a time that was convenient for me.
The clinician arrived on or around the scheduled appointment time.
I am satisfied with the amount of contact I had with the clinician.
Changes in clinician (if any) did not negatively affect my treatment.
I was given opportunity to ask questions/discuss concerns with the clinician.
My safety was a priority for the clinician.
I was treated in a respectful and professional manner.
I was involved in setting and evaluating the treatment plan.
My requests to include family members or other caregivers in my treatment were respected.
Goals set for therapy were realistic and attainable.
The recommendations/interventions helped me to function better in my environment.
The therapist clearly explained the reason for discharge.
I agreed with the plan to discharge.
Overall, I am satisfied with the services I received from CommuniCare Therapy.

8. We appreciate your time and consideration in completing this survey. Your feedback is very important to us.

Please feel free to add any comments in the box below or send comments to: feedback@communicare.ca ; you are welcome to add the clinicians name if you would like the comments to be passed on.

9. At CommuniCare Therapy we are invested in partnering with patients and their families to provide care that is appropriate and meaningful to them.
If you are interested in participating in our patient and family focus groups please leave your name and contact information below.

Please select the 'Submit Survey' button below to submit your survey. Thank you.