Customer Service Survey 
Thank you for providing music services for your community and/or someone you care about.

We want to hear your feedback. 
Please fill this quick survey and let us know your thoughts.
This survey will be used to adapt and enhance services based on the answers provided. 
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Your Location *
Your Title/Role *
Required
Type of Service *
How many services have you participated in or observed? *
Please rate the music therapist on the following, using this scale: 
She is a strong musician. *
She builds rapport easily with participants.  *
She invites participants into the music, regardless of ability level.  *
She offers a wide variety of songs and music experiences. *
She creates musical experiences according to each person's preferences/requests.  *
She adapts easily to challenging situations. *
She can articulate the clinical goals she is addressing with participants.  *
What is your favorite part of the program we provide? *
What benefits do you see for the participants? For your organization? *
What is one way we can improve your music program? *
We appreciate your referrals! What other organizations would be interested in our services?
Optional: Please share a sentence or two of a testimonial to encourage other people to engage in our services. 
May we share your testimonial in our written and online marketing materials?
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Your Name

**​ ​We​ ​will​ ​share​ ​nothing​ ​more​ ​than​ ​first​ ​names​ ​for​ ​music​ ​therapy​ ​participants,​ ​and​ ​only​ ​with​ ​their/your​ ​permission.**

Your Title and Organization
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