|
|
|
|
|
|
|
Feedback - Thomas, Neill & Associates
CCAC Services Satisfaction Survey |
|
| |
|
|
Your Name (Optional):
|
|
|
Contact Info (Optional):
|
|
| |
|
Your feedback is very important to us. Please help us to improve by answering some questions about the services you have received. We are interested in your honest opinions, whether positive or negative. We also welcome your comments and suggestions. Thank you very much.
|
|
Please select the option that best reflects your opinion on each of the following questions:
|
| |
1. How would you rate the quality of service you received?
|
2. Did you get the kind of service you wanted?
|
3. To what extent has our visit(s)met your Occupational Therapy needs?
|
4. If a friend were in need of similar help, would you recommend our Therapist to him/her?
|
5. Have the services you received helped you deal more effectively with your problems?
|
Comments:
|
|
|
| |
|
|
|
|
|
|