Client Satisfaction Survey-Assessment Question Title * 1. Where you called and reminded of your appointment? No Yes OK Question Title * 2. Did your appointment begin on time? Yes No OK Question Title * 3. How helpful was the person at the front desk Poor Below Average Good Above Average Excellent OK Question Title * 4. How Easy is the check in? Poor Below Average Good Above Average Excellent OK Question Title * 5. Comments? OK Question Title * 6. How comfortable is the waiting area? Poor Below Average Good Above Average Excellent OK Question Title * 7. How easy is it to find your way around? Poor Below Average Good Above Average Excellent OK Question Title * 8. How clean is our facility? Poor Below Average Good Above Average Excellent OK Question Title * 9. How friendly is the staff? Poor Below Average Good Above average Excellent OK Question Title * 10. How well was your service explained? Poor Below Average Good Above Average Excellent OK Question Title * 11. How skilled is the staff? Poor Above Aveage Good Above Average Excellent OK Question Title * 12. How concerned is the staff for you? Poor Below Average Good Above Average Excellent OK Question Title * 13. Our concern for your privacy? Poor Below Average Good Above Average Excellent OK Question Title * 14. Our sensitivity to your needs? Poor Below Average Good Above average Excellent OK Question Title * 15. Our response to your concerns? Poor Below Average Good Above Average Excellent OK Question Title * 16. Staff's overall concern for you? Poor Below Average Good Above Average Excellent OK Question Title * 17. Were you made to feel welcome? Yes No OK Question Title * 18. Were you treated with dignity and respect? Yes No OK Question Title * 19. Did the service meet your exspectations Yes No OK Question Title * 20. How the staff worked together for you? Poor Below Average Good Above Average Excellent OK Question Title * 21. Overall rating of our services? Poor Below Average Good Above Average Excellent OK Question Title * 22. Would you recommend us to others? Yes No OK Question Title * 23. Why or why not? OK DONE