Client Satisfaction Survey

We are committed to providing excellent treatment services. This survey is designed to help us better understand your needs and gather feedback on the treatment services we provide.

Please score by selecting an answer for each of the following questions. There are no right or wrong answers – all we are interested in is the answer that best reflects your experience at our clinic.

1. Were you able to get an appointment in timely manner?

2. Were the administrative staff helpful?

3. Your therapist was on schedule.

4. Did your therapists provide you with professional service?

5. Did treatment meet your expectations?

6. The treatment goals and objectives were clearly outlined.

7. Was your treatment helpful in resolving your problem?

8. The treatment team listened to my concerns and answered my questions honestly.

9. The facility was easily accessible and well maintained.

10. Would you recommend this business to a friend?

The following fields are not required.

Commments Therapist Name Your Name

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