Client Survey - Quinte & District Rehabilitation

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What service(s) did you receive from Quinte Rehab?

Physiotherapy Occupational Therapy Dietetics Social Work Speech Language Pathology Rehab Assistant None

Name(s) of Therapist(s):

Did you know how to contact the therapist(s) or Quinte Rehab’s main office if needed?

Yes No

Did you receive more than 2 visits with your therapist(s)?

Yes No

If yes, how many

Did the therapist(s) present in a professional manner?

Yes No

If no, please explain:

Did you feel the therapist(s) ensured your safety during the visit?

Yes No

Were the instructions provided by the therapist(s) clear?

Yes No

Did you feel the therapist(s) respected your individual lifestyle/cultural needs?

Yes No

Were you aware of your therapy goals?

Yes No

How satisfied were you with the service(s) you received from Quinte Rehab?

1 (Poor) 2 3 4 5 6 7 8 9 10 (Excellent)

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