ITG Patient Satisfaction Survey

Hello! We would like to get your feedback on the services provided by the ITG Health Coach (Abby Meyer) to ensure we are continually meeting your needs as our valued members. Your responses to this survey are very helpful and will be kept confidential and anonymous at all times. If you have questions about the survey or need help, please ask your health coach for assistance.

Thank you very much for your time and support! Please start the survey by clicking on the Continue button below.

I Agree

* How satisfied are you with your health coach?

Please rate the following regarding your health coach (5 stars for Great, 4 stars for Good, 3 stars for OK, 2 stars for Fair, and 1 star for Poor):

* Listens & shows interest to what I'm saying during my appointment

* Takes her time with me and answers my questions

* Helps me understand information I'm given during my appointment

* Makes me feel at ease during my appointment

* Motivates me to make small changes

* Do you feel your health coach has helped you improve your health?

Yes

No

I'm not sure

* How satisfied are you with privacy during your visit?

* Was your appointment date/time scheduled and communicated to you?

Yes

No

My Supervisor is supportive of health coaching appointments and allows me to attend my appointments. Please rate: 5 stars for Great, 4 stars for Good, 3 stars for OK, 2 stars for Fair, and 1 star for Poor.

* Would you schedule additional appointments with the health coach if given the opportunity?

Yes

No

If you feel comfortable, please share any suggestions you may have for improvement. Improvements can be for the health coach.

If you would like to leave a testimonial, feel free to do so below.