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Client Satisfaction Survey

Connections365 values your opinion!  In an effort to provide the best care possible, please rate the following on a scale from 1 (Poor) to 5 (Excellent).  At the end of the survey, please feel free to add any additional comments or concerns you may have.  It’s completely anonymous! 

Your Appointment:

Ease of making appointments by phone
Appointment available within a reasonable amount of time

Our Staff:

The courtesy of the person who took your call
The friendliness and courtesy of the receptionist/office staff

Your Visit with the Provider:

Willingness to listen carefully to you
Explaining things in a way you could understand
Showing respect for what you had to say
Including you in decision-making about your treatment plan

Our Communication with You:

Effectiveness of our patient education materials
Our ability to return your calls in a timely manner

Our Facility:

Overall rating of our facility

Your Overall Satisfaction with:

Your counselor/therapist
The ability of our staff to work together with your health care team
Overall rating of care
Would you recommend the provider to others?

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