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.

Question Title

* 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

Question Title

* 2. How satisfied are you with the safety measures that we have in place to keep you and your family safe during the pandemic?

VERY SATISFIED

SATISFIED

NEUTRAL/UNDECIDED

DISSATISFIED

VERY DISSATISFIED

Question Title

* 3. Was your appointment by video, phone, or in person?

Video appointment

Face-to-face appointment

Phone appointment

Question Title

* 4. If your appointment was face-to-face, what KidsAbility site did you have your appointment at?

CAMBRIDGE

FERGUS

GUELPH

KITCHENER

WATERLOO

Not Applicable

Question Title

* 5. What type of service are you receiving?

Publically Funded Service (I do not pay for KidsAbility services)

Purchased Service (I pay for KidsAbility services)

Question Title

* 6. Please let us know how we could have made your visit better.

Question Title

* 7. 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.

If you have a concern that requires immediate attention, please contact
Jayne Matzeg, Director of Quality and Privacy Officer: jmatzeg@kidsability.ca