Barrie Sports Medicine and Rehabilitation Centre

Servicing the Communities of Barrie and Angus, Ontario since 1990

Phone: 705.734.3340

Were you greeted in a warm/caring manner by our reception staff? *

Were our reception staff helpful in dealing with your concerns? *

Were you given clear, concise information by reception staff? *

Did our reception staff make every effort to accommodate your needs when booking appointments? *

Were you treated in a pleasant/caring manner by your therapist(s)? *

Were you treated with respect and professionalism by your therapist(s)? *

Was your therapist(s) punctual? *

Did you receive adequate education on your injury and recovery process and a home exercises program from your therapist(s)? *

Were you involved in your rehabilitation process to your satisfaction (ie. setting goals, status changes, etc.)? *

Did you meet your personal goals? *

Were you satisfied with the clinic facilities (space, cleanliness, hours, etc.)? *

Were you satisfied with the length of time to recovery? *

Were you satisfied with the length of time to get in for an assessment? *

How long did it take for you to get in? *

1. Which clinic(s) did you attend? *

Huronia

Wellington

Angus

2. What type of service(s) did you receive? *

3. Therapists name(s):

4. Did you benefit from therapy? *

5. Were you able to return to a pre-injury lifestyle? (sport, work, general) *

6. What did you like about our clinic?

7. Where could we improve?

8. Would you return to the facility or refer a friend or family member to us?

If no, why not?

9. Would you return to your therapist or refer a friend or family member to your therapist?

If no, why not?

10. Other Comments

Form Completed by:

Security Code

Enter Security Code

Questions marked with a '*' are mandatory.