Employee Satisfaction Survey Template - Winsor Health printable pdf download

Employee Satisfaction Survey Template - Winsor Health

Employee Satisfaction Survey

Please give us your candid feedback so that we may continue to provide service excellence.

Strongly

Agree

Neutral

Disagree

N/A

Please rate the following:

Agree

1. The building/office was clean and appropriate

for my physical needs (including

accommodations required under the

Accessibility for Ontarians with Disabilities

Act [AODA] if applicable).

2. The staff at the building/office was helpful and

professional.

3. The physician clearly explained the reason for

the assessment, and his/her role in the process.

4. The physician conducted the assessment in a

professional and respectful manner.

5. The physician answered my questions in an

appropriate manner.

6. Overall, I was satisfied that the

assessment/appointment process was

handled in a professional and respectful

manner.

7. The transportation provided was on time,

professional and appropriate for my physical

needs (if applicable).

8. The Interpreter/Chaperone was helpful and

professional (if applicable).

Please provide any additional comments you feel will help us improve our service:

Name (Optional):

Date:

Please return to Winsor Health by fax (905-709-7002) or email (referrals@winsorhealth.ca). Thank

You!

Employee Satisfaction Survey Template - Winsor Health