Carolina Therapy Connection Client Satisfaction Survey
How long have you been/were you seen by a therapist from Carolina Therapy Connection?
Less than 6 months
At least 6 months but less than 1 year
At least 1 year but less than 2 years
At least 2 years but less than 3 years
3 years or more
My appointment for a physical/occupational/speech therapy evaluation and treatment was scheduled quickly.
Agree
Disagree
Neither Agree or Disagree
The clinic scheduled appointments at convenient times.
Strongly Agree
Agree
Neither agree or disagree
Somewhat disagree
Disagree
Strongly disagree
How professional are the staff at Carolina Therapy Connection?
Extremely professionally
Quite professionally
Moderately professionally
Slightly professionally
Not at all professionally
My privacy was/is respected during my physical/occupational/speech therapy care.
Strongly Agree
Agree
Somewhat agree
Neither agree or disagree
Somewhat disagree
Disagree
Strongly Disagree
I was seen promptly when I arrived for treatment.
If your child is seen in the home, please answer the following: My therapist arrived promptly for the treatment/evaluation session.
Strongly Agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
During your therapy visits, does/did your therapist listen carefully to you?
Yes, definitely
Yes, somewhat
No
During your therapy visits, does/did your therapist explain things in a way that are easy to understand?
Yes, definitely
Yes, somewhat
No
My therapist understood my problem/condition/concerns.
Strongly Agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
The instructions my therapist gave were helpful and clear.
Strongly Agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
I was confident in the skills of my therapist.
Strongly Agree
Agree
Neither agree nor disagree
Disagree
Strongly Disagree
The therapist provided person-centered and family-centered care.
For example, I participated in the decisions about my child's goals and treatment. My values and beliefs for my care were respected.
Strongly Agree
Agree
Neither agree nor disagree
Disagree
Strongly Disagree
How effective has treatment been for your child/family?
Not Effective At All
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10
Extremely Effective
How satisfied or dissatisfied are you with the amount of time your therapist spends/spent with you addressing your needs?
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
Overall, I am satisfied with the quality of my physical/occupational/speech therapy care.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
I would return to this clinic if my child required physical/occupational/speech therapy care in the future.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly Disagree
How likely is it that you would recommend Carolina Therapy Connection to a friend or colleague?
Not likely at all
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2
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9
10
Extremely Likely
We always welcome your thoughts! Please provide us with any comments or suggestions for improving our services.
Thank you for your honest opinions!
Your answer
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