Patient Feedback Survey
We welcome your feedback! The responses you provide will help us improve the care we deliver. Your participation in this survey is voluntary.
The service(s) you received from Kaymar Rehabilitation:
Occupational Therapy
Speech Language Pathology
Social Work
Nutrition (Registered Dietitian)
Physiotherapy
Rehabilitation Assistant
The name of your therapist(s)
1. I received Virtual care either over the phone or via video
Yes
No
2. I received Rehabilitation Assistant services.
Yes
No
Overall satisfaction of service
Strongly Agree
Agree
Neutral
Disagree
I benefited from the virtual care I received (if applicable).
I feel I made more significant gains working with the rehab assistant (if applicable).
I was treated in a safe, respectful manner.
The Clinician/Therapist arrived on time.
I was able to ask questions and discuss my concerns and goals.
I helped set my goals and care plan that I felt were realistic and achievable.
I understood the reasons for the treatment, information and recommendations given to me.
I was satisfied with the amount of contact I had with the Kaymar provider.
I benefitted from the service. I am satisfied with the services I received.
I agree with the plan to close my file for this service once complete, knowing I can re-refer as new issues arise.
I am aware the Kaymar provider washed/sanitized their hands.
I received service in the language of my choice.
Positive Comments:
Suggestions for Improvement
If you have any concerns or would like more information about this survey, please contact us via our website www.kaymar.ca or at (613) 542-8739. If you would like to be more involved in providing feedback about other aspects of our service (e.g., Virtual care, the Kaymar booklet, website, etc.) please provide your contact information below.
If you wish to be contacted:
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
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