Patient Survey Instrument 1 Step 1 Step description 2 Step 2 Step description 0% Share your experience with us We would love to hear your recent experiences, thoughts, concerns or problems with anything so we can improve! 1) Date of Visit : * 2) Branch : * Please Choose... WQ Park Kelana Jaya WQ Park Kuala Lumpur WQ Park Bangi WQ Park Johor Bahru WQ Park Kuantan WQ Park Rimbayu 3) Services/Programme : * Please Choose... Specialist Clinic Clinical Psychology Speech Therapy Child Development Centre | E.I.P. Child Development Centre | E.L.P. Child Development Centre | AL-FATEH Adult Rehab (Physiotherapy) Paediatric (Physiotherapy ) Adult Rehab (Occupational Therapy) Paediatric (Occupational Therapy) Agog Park 4) Name of the therapist you interacted with: 5) How did you find out about us? * Doctor’s referral Social media Tiktok Google Website Family & Friends Insurance School/Centre Previous Next Patient Survey Instrument 1) The front desk staff are courteous, friendly, and professional. * Strongly Disagree Disagree Neutral Agree Strongly Agree 2) The registration process is appropriate and easy to understand. * Strongly Disagree Disagree Neutral Agree Strongly Agree 3) The waiting area is comfortable and clean. * Strongly Disagree Disagree Neutral Agree Strongly Agree 4) My therapist is knowledgeable and thoroughly explains the treatment provided. * Strongly Disagree Disagree Neutral Agree Strongly Agree 5) My therapist treats me respectfully and professionally. * Strongly Disagree Disagree Neutral Agree Strongly Agree 6) My therapist listens to my concerns and is helpful. * Strongly Disagree Disagree Neutral Agree Strongly Agree 7) My therapist explains things clearly and answers all my questions. * Strongly Disagree Disagree Neutral Agree Strongly Agree 7) My therapist explains and answers all my questions. * Strongly Disagree Disagree Neutral Agree Strongly Agree 8) My therapist advises me on how to prevent future issues. * Strongly Disagree Disagree Neutral Agree Strongly Agree 9) My therapist gives me detailed instructions regarding my home programme. * Strongly Disagree Disagree Neutral Agree Strongly Agree 10) I am satisfied with the services received from my therapist. * Strongly Disagree Disagree Neutral Agree Strongly Agree 11) Appointments were convenient, and the scheduling process was easy and accessible. * Strongly Disagree Disagree Neutral Agree Strongly Agree 12) The therapy setting was clean, safe, and welcoming. * Strongly Disagree Disagree Neutral Agree Strongly Agree 13) Therapy sessions were goal-oriented and supported progress toward the goals set by clients and parents. * Strongly Disagree Disagree Neutral Agree Strongly Agree 14) I would return to this centre for future services or care. * Strongly Disagree Disagree Neutral Agree Strongly Agree What can we improve ? * Total Scoring : Please State Your Email * I consent to having this website store my submitted information so they can respond to my survey. Submit Previous Next
