Survey for new clients here.

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Prosper Health Collective - Client Satisfaction Survey
Your responses to the questionnaire will help improve the services we provide at Prosper Health Collective. We appreciate you may have only attended one appointment so far but your thoughts are still valuable. We value your feedback and thank you for your time.
Sign in to Google to save your progress. Learn more
* Indicates required question
Which location did you attend your appointment? *
Which service did you access?  *
1. On the basis of your experience with us, How likely are you to recommend Prosper Health to family and friends? *
Not at all
Definitely recommend
2. How would you rate the overall quality of the service provided by Prosper Health? *
3. Please rate the degree to which you were satisfied with:
Not at all satisfied
Somewhat dissatsfied
Neutral
Satisfied
Very Satisfied
ease of making an appointment
booking procedures
greeting upon arrival at the practice
helpfulness of reception staff
ease of parking
comfort of the waiting room
Not at all satisfied
Somewhat dissatsfied
Neutral
Satisfied
Very Satisfied
ease of making an appointment
booking procedures
greeting upon arrival at the practice
helpfulness of reception staff
ease of parking
comfort of the waiting room
Clear selection
4. Please rate the degree to which you agree with the following statements: *
Strongly Disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
My therapist made me feel heard, respected and understood
My therapist was professional and knowledgeable
My therapist partnered with me to develop goals for treatment
My therapist is committed to my confidentiality
Strongly Disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
My therapist made me feel heard, respected and understood
My therapist was professional and knowledgeable
My therapist partnered with me to develop goals for treatment
My therapist is committed to my confidentiality
5. How confident are you that your therapist will help you achieve the outcome you want? *
Not at all confident
Extremely confident
6. What could we have done better to improve your initial experience with us?
Your answer
7. Is there anything else you would like to tell us?
Your answer
Your responses are completely confidential. If you would like us to contact you about your responses please provide your contact details below:
Your answer
Reviews
If your were happy with the service we provided, we would really appreciate a 5 star review on Google by going to https://g.page/prosper-health/review?rc If you were dissatisfied with the service, we strongly encourage you to leave your details on on this form so that we can contact you or call and speak with the Director on 6381 0071.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside Cassidy Psychology.

Does this form look suspicious? Report

 
 
 
Help and feedback
  •  
     
     
    Contact form owner
  •  
     
     
    Help Forms improve
  •  
     
     
    Report
https://www.gstatic.com/_/freebird/_/js/k=freebird.v.en_GB.xBpuYoXIJAo.O/am=CIEB/d=1/rs=AMjVe6hNRJvM8oya7KNOqhAYo-yw7diCyA/m=viewer_base