Thank you for participating in our patient survey. After you are finished, you will have to option to join our private Facebook Alumni group. It is a good way to stay connected and have a place to communicate with other alumni.

To continue to improve our program for future clients, we truly rely on your answers and honesty. If you mark a question “3” or below, and feel you have time, we would appreciate your reason/feedback in the comment section at the end of the survey.

  5 – Strongly Agree (most positive)

                4 – Agree

                3 – Neutral

                2 – Disagree

                1 – Strongly Disagree (most negative)

Client Satisfaction Survery - Outpatient

Patient Survey Form