We would like to ask you about your experience regarding your last visit to our Clinic. Thank you for helping us continue to improve the care we provide for our clients.

Question Title

* 1. Overall, how satisfied were you with your last visit to our Clinic?

Question Title

* 2. Overall, how would you rate the service you received at the reception area of our Clinic?

Question Title

* 3. Did your appointment with your therapist start early, late or on time?

Question Title

* 4. How well did your therapist listen to your needs?

Question Title

* 5. How well did your therapist explain your treatment options?

Question Title

* 6. How well did your therapist explain your follow-up care?

Question Title

* 7. How likely is it that you would recommend therapist to a friend or family member?

Not at all likely
Extremely likely

Question Title

* 8. How satisfied are you with the cleanliness and appearance of our Clinic?

Question Title

* 9. Is there anything we could have done to improve your last visit?

T