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* 1. Please indicate the service you received from Kaymar Rehabilitation.

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* 2. Please check the best response that describes your experience with Kaymar Rehabilitation.

  Strongly Agree Agree Neutral Disagree Not Applicable
I was treated in a safe, respectful manner. 
The clinician/therapist arrived on time. 
I was able to ask questions and discuss my concerns and goals. 
I helped set my goals and care plan that I felt were realistic and achievable. 
I understood the reasons for the treatment, information and recommendations given to me. 
I was satisfied with the amount of contact I had with the Kaymar provider. 
I benefited from the service. I am satisfied with the services I received. 
I agree with the plan to close my file for this complete, knowing I can re-refer as new issues arise. 
The Kaymar provider washed/sanitized their hands. 
I received service in the language of my choice. 

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* 3. Comments:

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* 4. I would like to be more involved (feedback re: booklet/website/focus group)

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