Our patient experience surveys provide us with valuable information about the way you feel about our care/services and help us determine where improvement is needed.

This survey is designed to look at your visit today.

THANK YOU for completing our survey today.

Question Title

* 1. Which site/program did you visit today?

Question Title

* 2. Were you satisfied with the time frame between (a) point of referral and initial assessment (b) between appointments/contact (phone, in person or groups) 

Question Title

* 3. During my visit today:

  Strongly Agree Agree Neutral Disagree Strongly Disagree
I was treated with courtesy.
Things were explained to me in a way I could understand.
My questions were answered to my satisfaction.

Question Title

* 4. Think back to the reasons you were referred to the program and your treatment goals. Do you believe this program is meeting these needs? 

Question Title

* 5. Is there any other feedback you would like to share?

T