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Client Satisfaction Survey
Please complete this survey to provide us feedback about how we are doing!
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* Indicates required question
How likely are you to recommend the Therapy SPOT?
*
Very Unlikely
1
2
3
4
5
Very Likely
Which of the following best describes you?
*
Myself or my child is a current patient at The Therapy SPOT
Myself or my child is a former patient at The Therapy SPOT
I have recently inquired about services at The Therapy SPOT
I am interested in receiving services at The Therapy SPOT
Is your child currently receiving any of the following services in a clinic setting (check all that apply)
*
Speech therapy
Occupational therapy
Physical therapy
None of the above
Required
If your child currently receives therapy in a clinic setting, what factors lead you to choose the current therapy clinic over another clinic?
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Your answer
Compared to other therapy clinics, is our service quality better, worse, or about the same?
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Much worse
1
2
3
4
5
Much better
When you’re considering therapy clinics in this area, what are the top two things you generally consider? (Check two boxes.)
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Price
Experience
Personal recommendation
Appointment availability or scheduling
Location
Other:
Required
Overall, how would you rate the quality of your customer service experience?
*
Very negative
1
2
3
4
5
6
7
Very positive
Overall, how satisfied are you with the therapists at our clinic?
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Very dissatisfied
1
2
3
4
5
Very satisfied
How satisfied are you with your child's progress during therapy?
Very dissatisfied
1
2
3
4
5
Very satisfied
Clear selection
How did you hear about The Therapy SPOT?
*
Physician or other medical professional referral
Recommended by a friend or family member
Internet search
Insurance company list
Other:
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