HRC Behavioral Health & Psychiatry - Client Satisfaction Survey
Your assistance in completing this survey and returning it to us will help us improve our care for our clients. You may identify yourself if you wish or you may request a call-back regarding your comment. Feel free to add comments on the bottom of this survey.
Experience
How has your experience with us been?
Poor
Excellent
Which one of our locations did you visit?
First contact with Front Desk
Please tell us about your first telephone contact with the front desk at HRC.
First Contact with Clinic
Please tell us about your first telephone contact with the clinicians at HRC.
Please check all that apply regarding your first visit to our office.
Please check all of the following that apply to your financial transactions with HRC.
Was the therapist/physician caring, professional, and helpful?
Not at all
Much more than I expected
Hours of operation convenient for you
1 = Poor; 2 = Fair; 3 = Good; 4 = Very Good; 5 = Excellent
Neat and clean building
1 = Poor; 2 = Fair; 3 = Good; 4 = Very Good; 5 = Excellent
Overall comfort of facility
1 = Poor; 2 = Fair; 3 = Good; 4 = Very Good; 5 = Excellent
Adequate parking
1 = Poor; 2 = Fair; 3 = Good; 4 = Very Good; 5 = Excellent
Keeping my personal information private
1 = Poor; 2 = Fair; 3 = Good; 4 = Very Good; 5 = Excellent
Overall satisfaction with our practice
1 = Poor; 2 = Fair; 3 = Good; 4 = Very Good; 5 = Excellent
What do you like most about our center?
Your answer
What do you like least about our center?
Your answer
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