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Customer satisfaction Survey
You are being invited to take part in this survey because you have recently had a visit with Lori Liggesmeyer Registered Dietitian. Your responses to the questions on this survey will help me improve the care I provide. It will take approximately 5 minutes to complete. Participation in the survey is completely voluntary and all your responses to the survey questions will be kept confidential. Your personal information is not recorded. Thank you very much in advanced!
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On a scale from easy to hard, How would you rate booking an appointment with Lori L RD?
Hard
With some difficulty
Easy
On a scale from poor to excellent, How would you rate Lori RD in the following? Listened to your concerns (copy)
Excellent
Very Good
Good
Fair
Poor
How would you rate Lori RD in the following? Spoke in a language you could understand.
Excellent
Very Good
Good
Fair
Poor
How would you rate Lori RD in the following? Explained things in an easy way that you could understand
Excellent
Very Good
Good
Fair
Poor
How would you rate Lori RD in the following? Was sensitive to your needs and preferences.
Excellent
Very Good
Good
Fair
Poor
How would you rate Lori RD in the following? Involve you as much as you want in the decision making and your care options.
Excellent
Very Good
Good
Fair
Poor
How would you rate Lori RD in the following? Gave you clear instructions of what you need to do after the visit.
Excellent
Very Good
Good
Fair
Poor
How would you rate Lori RD in the following? Responding to follow up questions after initial session.
Excellent
Very Good
Good
Fair
Poor
Not applicable
How was your overall experience with speaking with Lori RD about the reason for your visit?
Excellent
Very Good
Good
Fair
Poor
Would you recommend Lori RD services to friends and family?
Definitely no
Probably no
Probably yes
Definitely yes
How would you rate your overall health?
Selected Value:
0
0 being poor, 10 excellent
How satisfied are you with the resources provided by Lori RD
Just what I needed
Adequate
Enough
Was looking for more
Inadequate
to a rate
Is there any additional comments or suggestions you want to share.
Submit