Post-Visit Satisfaction Survey 

咨询服务满意度调查

After your visit, please take several minutes to rate the service you received. We value every client's feedback very much. Thank you!

为了给您提供更好的服务,希望您能抽出几分钟时间,将您咨询体验的感受和建议告诉我们,我们非常重视每位来访者的宝贵意见,期待您的参与!谢谢!

1.Who is your therapist?
您的咨询师是哪位?
2.Overall, how satisfied or dissatisfied were you with the care you received from your provider?
您对从这位咨询师那里接收到的服务满意度如何?
3.How well did your provider listen to and understand your needs?
您的咨询师聆听并理解您的需求吗?
4.How well did your provider explain your treatment options??
您的咨询师对您的治疗计划解释的清楚吗?
5.How likely is it that you would recommend your provider to a friend or family member? 
您向朋友家人或同事推荐我们的可能性有多大?
0:不可能10:极有可能
0
1
2
3
4
5
6
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8
9
10
 
 
6.Overall, how would you rate your last visit to our office?
整体而言,您会对这次来我们办公室的体验如何评分?
 
 
7.Is there anything we could have done to improve your last visit?
有什么我们能做的,可以提高您的来访体验吗?
8.If you have any questions or concerns and want our director to contact you, please leave your name and email address.
如果您有什么意见和问题,希望我们的负责人联系您的话,请留下您的姓名和邮箱。