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KidsAbility 'HOW DID WE DO TODAY?' Satisfaction Survey
Your feedback is very important to us!
Please answer the following questions about your recent visit to KidsAbility.
1.
How satisfied are you with the quality of care that you received during your recent visit?
VERY SATISFIED
SATISFIED
NEUTRAL/UNDECIDED
DISSATISFIED
VERY DISSATISFIED
2.
Was your appointment by video, phone, or in person?
Video appointment
Face-to-face appointment
Phone appointment
3.
If your appointment was face-to-face, what KidsAbility site did you have your appointment at?
CAMBRIDGE
FERGUS
GUELPH
KITCHENER
WATERLOO
Not Applicable
4.
What type of service are you receiving?
Publically Funded Service (I do not pay for KidsAbility services)
Purchased Service (I pay for KidsAbility services)
5.
Please let us know how we could have made your visit better.
6.
If you would like us to contact you, please leave your contact information below.
Thank you for taking the time to fill out our survey! We really appreciate the feedback!
Please remember to click 'DONE' to submit your answers.
