Brief Confidential Anonymous Feedback

Estimated time to complete : 1-2 minutes


You are important. We rely on you for feedback how we are doing and know where we can improve. We really want to know what your experience of our providers and services was and we'd appreciate it if you would check a few boxes to let us know.

How Is This Information Used?

Please note that you remain completely anonymousYour provider will not be notified of your submission and will not have access to anything you submit here. This information is added to an anonymous pool of data used by senior staff in reviewing provider and service performance. 


 

 

Who Is Your Provider?


 

 

Provider Rating


 

CompletelyMostlyDon't knowNot reallyNot at all
Do you feel that they were attentive and able to connect with you?
Do they keep good time, starting appointments as expected?
Do they finish sessions on time, as expected?
Do you feel that they shared appropriate information about themselves?
Do you feel that they had the appropriate skills and knowledge to help you?
Do you feel safe and comfortable talking with them?
Do you feel that pre-appointment forms were manageable?
Do you feel that they generally behaved and dressed appropriately?
Do you feel that your issue is or was addressed successfully?
In general, do you feel better now than when you started?
Do you feel you learned things that will help you in the future?
Do you enjoy using the online scheduling feature?
Overall, was your experience of King Health Associates a positive one?

 

 

Suggestions


 

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