Customer Service Survey Question Title * 1. While on the phone, did our Staff listen to you and meet your needs? Yes No No Question Title * 2. Was the Staff courteous and respectful when you call? Extremely Very Somewhat Not at all N/A N/A Question Title * 3. Did the Admin Staff acknowledge you promptly upon your arrival? Yes No N/A Question Title * 4. During the Initial Assessment were your problems and needs understood by the Clinical Staff you met with. Yes No N/A Question Title * 5. Did MLC program meet your needs? If not, what services were you looking for and did you seek another resource/referral Very Well Moderately well Not at all Services seeking: _________________ Question Title * 6. Was there anything we could have done to make your experience with us better? If yes, what? Yes No If yes, What Question Title * 7. How did you first hear about Marvelous Light Consultants Word-of-mouth referral from family/friend Online search (e.g., Google, Yahoo, Bing) Insurance/Medicaid Network Referral Community Agency/Physician Other Submit response >>
