Thank you for taking a few minutes to complete this survey and give us your valuable feedback.

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* 1. Please select the branch of CEAS you receive services from.

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* 2. How did you first hear about CEAS?

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* 3. How would you rate your overall satisfaction with CEAS services?

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* 4. Please rate the quality of therapy provided by the therapist(s) on your team.


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* 5. Communication

  Very poor Poor Average Good Excellent
Following your initial contact with CEAS, how would you rate our communication of the next steps?
How would you rate the lines of communication between yourself and members of your team?
How would you rate the quality of communication between yourself and the billing department?

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* 6. Is your child receiving either of the following services? Please check all that apply.

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* 7. Have you found it difficult to find speech or occupational therapy services for your child?

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* 8. Are there additional services you would find helpful? Please check all that apply.

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* 9. Is there a member on your team you would like us to be made aware of? It may be out of concern or appreciation towards that individual.

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* 10. Please share with us anything else you feel we should know to improve our services.

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