A Bravenet.com Contact Form

Hand Therapy Canada Experience Survey

You are being invited to take part in this survey because you have recently had a visit at Hand Therapy Canada. Your responses to the questions on this survey will help us improve the care we provide. There are six sections of the survey and it will take approximately 5 minutes to complete. Participation in the survey is completely voluntary and all your responses to the survey questions will be kept confidential.

How did you make contact for your appointment? * I called and set it up I emailed and set it up You called me to set it up I set it up another way

How long did it take between initial contact and your first appointment? 1-2 days 3-7 days 1-2 weeks 2-4 weeks Longer than 4 weeks

How was your overall experience accessing the clinic? Excellent Very Good Good Fair Poor

How would you rate your waiting time once arriving to the clinic? Excellent Very Good Good Fair Poor

Please rate the overall cleanliness of the office Excellent Very Good Good Fair Poor

What Therapist did you see?

Please enter the date of your visit date_range

Please rate how well they listened to your concerns? Excellent Very Good Good Fair Poor

Please rate how well they explained things so you could understand Excellent Very Good Good Fair Poor

Please rate how clear they were in providing instructions for you to do after the visit Excellent Very Good Good Fair Poor

Please rate your opportunity to ask questions during the visit Excellent Very Good Good Fair Poor

Please rate your confidence in your therapist Excellent Very Good Good Fair Poor

Please rate your overall experience with your therapist Excellent Very Good Good Fair Poor

Would you recommend Hand Therapy Canada to your friends/family? Yes No

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