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

2. Please choose the area in which your child receives service.

3. Please indicate the date of survey completion:

4. How did you hear about our satisfaction surveys?

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

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

  Strongly Agree Agree Neutral Disagree N/A 
My child benefited from the service.
I am satisfied with the amount of contact my child had with the therapist.
I found the materials and/or homework sent home with my child helpful.
Changes in clinician (if any) did not negatively affect my child’s treatment.
I was given opportunity to ask questions/discuss concerns with the therapist.
My child's safety was a priority for the therapist.
The therapist sent me regular written updates and recommendations.
I was informed about the goals and purpose of the treatment plan.
Goals set for therapy were realistic and attainable.
The recommendations helped my child to function better in his/her 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.

7. 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.

8. 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.

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

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