SHC Audiology Ltd - Patient Satisfaction Survey Question Title * 1. Please state the clinic location where you had your appointment: Question Title * 2. Please state your age: 16 to 35 36 to 55 56 to 75 76+ Please rate our services from 1 to 10, by choosing one number for each question.1 = Poor 10 = Outstanding Question Title * 3. Following your Doctor's referral for hearing tests, how would you rate the waiting time before receiving your first appointment from the Audiology clinic? 1 2 3 4 5 6 7 8 9 10 Question Title * 4. How would you rate the information provided prior to your first appointment? 1 2 3 4 5 6 7 8 9 10 Question Title * 5. Did the Audiologist confirm your ID and take your consent prior to your appointment commencing? If yes, how would you rate this? No 1 2 3 4 5 6 7 8 9 10 Question Title * 6. How would you rate the Audiologist's communication throughout your appointment? 1 2 3 4 5 6 7 8 9 10 Question Title * 7. Did the staff treat you with care, respect and courtesy? 1 2 3 4 5 6 7 8 9 10 Question Title * 8. Did you feel that you could discuss things in confidence? If yes, how would you rate this? No 1 2 3 4 5 6 7 8 9 10 Question Title * 9. Prior to your hearing test, did the Audiologist provide clear instructions and explain about the test? If yes, how would you rate this? No 1 2 3 4 5 6 7 8 9 10 Question Title * 10. Did the staff explain the results of the tests clearly to you? If yes, how would you rate this? No 1 2 3 4 5 6 7 8 9 10 Question Title * 11. How would you rate the information provided about your hearing aids (other treatment or therapy) and recommendations? 1 2 3 4 5 6 7 8 9 10 Question Title * 12. Following your appointment, did the Audiologist cover all your questions and concerns? Please rate this. 1 2 3 4 5 6 7 8 9 10 Question Title * 13. How would you rate the printed information provided, following your hearing aid fitting? 1 2 3 4 5 6 7 8 9 10 Question Title * 14. How would you rate your follow up appointment - either at the Audiology clinic or over the telephone? 1 2 3 4 5 6 7 8 9 10 Question Title * 15. How easy has it been to contact SHC Audiology? 1 2 3 4 5 6 7 8 9 10 Question Title * 16. How helpful have you found your hearing aids (other treatment or therapy)? 1 2 3 4 5 6 7 8 9 10 Question Title * 17. If you have any comments, suggestions or complaints about our Audiology Service, please state below: Next