Client Satisfaction Survey
2nd Quarter (Apr-May-Jun 2017) Client Satisfaction Survey
Survey Number
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The person completing this survey is the
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Client gender
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Client age
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How long have you received services from Preferred Choice Healthcare?
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Which Preferred Choice Healthcare office do you most often use?
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At appointment time, how long do you generally wait between arrival and being seen?
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Rate the quality of professional and courteous service provided by our administrative staff.
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Rate the quality of professional and courteous service provided by our clinical staff.
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Do you believe the staff at Preferred Choice Healthcare respects your morals, values and beliefs?
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Would you say our offices are clean and safe?
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Did you have input into the development of your goals and treatment plan?
Have you received a copy of your treatment plan?
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Were you informed of how to access after hours emergency assistance?
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Rate the evaluation of your progress
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Would you recommend Preferred Choice Healthcare to someone else?
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How would you rate your overall satisfaction with Preferred Choice Healthcare?
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Do you have any comments or suggestions?
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