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Your ProVoice Center Experience
1.
On a scale of 0 to 10,
How likely is it that you would recommend ProVoice Center to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
2.
Which clinician(s) did you see for your appointments?
Erin Donahue, CCC-SLP
Courtney Ventus, CCC-SLP
Jennifer Yerganian, CCC-SLP
Jennifer Rising Kegyes, CCC-SLP
Natalie Sheppard, CCC-SLP
3.
My experience with the front desk staff was positive.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Comments
4.
How easy or difficult was it to schedule your appointments at times that were convenient for you?
Very easy
Easy
Neither easy nor difficult
Difficult
Very difficult
5.
Did your clinician explain things in a way that was easy to understand?
Yes, definitely
Yes, somewhat
No
6.
Do you feel that your clinician tailored therapy to fit your unique preferences and needs?
Yes, definitely
Yes, somewhat
No
7.
Overall, how would you rate the care you received from your provider?
Excellent
Very good
Good
Fair
Poor
8.
Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate your healthcare provider?
0 Worst provider possible
1
2
3
4
5
6
7
8
9
10 Best provider possible
.
0 Worst provider possible
1
2
3
4
5
6
7
8
9
10 Best provider possible
9.
Is there anything we could have done to improve your experience?
10.
Would you be willing to provide a testimonial for our clinic and/or your clinician? If so, please type your testimonial as you wish for it to appear in the comment box.
Yes
No
If you indicated "yes", please write your testimonial in the box below as you wish it to appear on our marketing materials (you may include your first name, profession, and/or be anonymous):
11.
Do you have any other comments, questions, or concerns?
