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Patient Feedback

This survey is for patients of the Vitallife Centre for Integrative Medicine. Please answer all questions to the best of your knowledge.

Please provide your contact information. All fields are optional.

Contact Information
  1. (required)
  6. (valid email required)
Visit Information
  2. How did you hear about Vitallife Integrative Medicine/your practitioner? (If appropriate, please specify details.)
Questionnaire
  1. How easy was it for you to book an appointment? (1 being easy, 5 being difficult)
  3. Was your appointment booked in a timely manner?
  5. Did you receive the intake form in a timely manner?
  7. Did the intake form address your health concerns effectively?
  9. Did your appointment start on time?
  12. Do you feel as though your health concerns were effectively addressed?
  16. Was the following information given to you useful?
  17. Effective explanation of your health evaluation
  19. Providing explanations of test results
  21. Clear explanation of recommendations
  23. Educational handouts
  25. Rate your satisfaction on the following (1 being poor, 5 being excellent):
  26. Answers to your questions
  28. Written information
  30. Aftercare instruction
  32. Practitioners returning calls/emails in a timely manner
  34. Explanation of tests/procedures
  36. Follow-up for test results/procedures
  39. When your appointment was over, did you have a better understanding of your health concerns?
  41. Would you recommend your practitioner to a friend, family, relative or colleague?
  43. Are you interested in receiving calls or emails to book follow up appointments?
 

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Thank you for enabling us to provide better care for you and our other patients.