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To our valued customer:
You are invited to participate in our survey  to assess the quality of our service at out clinic.  
We value your opinion and would like to give you this  opportunity to address any concerns, questions or complaints that you may have. We are happy to receive any feedback, whether it is negative or positive so that we may learn and improve the service that we can provide for you.
It will take approximately two minutes to complete the questionnaire. Your participation in this study is completely voluntary. However, your input is very important to our staff who would like to serve you better. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential. If you have questions at any time about the survey or the procedures, you may contact Tracy Berg, our Business Manager at 780-438-5409  or by email at the email address specified below. Thank you very much for your time and support.  Please start with the survey now by clicking on the Continue button below.
 
 
 
* In evaluating your most recent customer service experience, was the quality of service you received:
 
Very Poor
 
Somewhat unsatisfactory
 
About average
 
Very satisfactory
 
Excellent
 
Other
 
 
 
* Our Receptionist/Clinic Coordinator seemed knowledgeable:
 
Strongly disagree
 
Somewhat disagree
 
Neutral
 
Somewhat agree
 
Strongly agree
 
 
 
* Would you say our Receptionist/Clinic Coordinator was:  (Check all that apply)
 
Patient 
 
Not Patient
 
Welcoming
 
Unwelcoming
 
Enthusiastic 
 
Unenthusiastic
 
Attentive
 
Not engaged
 
Friendly
 
Unfriendly
 
Responsive 
 
Unresponsive
 
Polite
 
Rude
 
Professional
 
Unprofessional
 
Other?

 
 
 
* Was there anything specific about our Receptionist /Clinic Coordinator that stood out as being outstanding? :
   
 
 
 
The last time you phoned our clinic and our Receptionist/Clinic Coodinator handled my call, it was done professionally and courteously: 
 
Strongly disagree
 
Somewhat disagree
 
Neutral
 
Somewhat agree
 
Strongly agree

 
 
 
If you had an issue with our Administrative staff, how would you best describe what happened and how was it resolved. Please let us know briefly in the note box below.  Thank you
 
Kept me waiting on hold
 
Had to explain several times
 
Didn't know how to handle the problem
 
Had to ask others
 
Spoke slowly
 
No improvement needed
 
Other

 
 
 
Comments/Suggestion: