Survey

Speech Communication Therapies, Inc.

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Survey

Patient Satisfaction Survey

* Indicates required field

Ease of scheduling appointments *

Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied

Office environment, cleanliness, comfort, etc. *

Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied

Staff friendliness and courteousness *

Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied

How would you rate the performance of the speech- language pathologist (SLP)? *

Excellent Good Okay Fair Poor

How would you rate the progress you have made with therapy? *

Excellent Good Okay Fair Poor

If this is your first visit, how would you rate the service you received at the evaluation or first therapy session? *

Excellent Good Okay Fair Poor Not applicable

How did you hear about us? *

Doctor referral Walk in elpasospeech.com Google EP Kiddos El Paso Directory Other

What do you like about our practice? *

Comments/ Suggestions *

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