Client Survey Client Survey Which office did you visit for your appointment?St. Catharines HospitalHotel Dieu Shaver Rehabilitation CentrePlease rate your overall experience in the clinic on a scale of 1- 5. 1 being extremely negative, 5 being extremely positive.ExcellentPretty goodNeutralNot so greatTerribleWould you like the clinic manager to contact you regarding your experience?YesNoNamePhoneDid you feel that your needs were met by our clinical staff at your appointment?YesNoWould you recommend our team to your family/ friends if they required a product or service that we offer?YesNoAdditional Comments/ Areas for ImprovementOptional Please provide your name and email address to be entered in a draw for a $100 Keg Gift CardNameEmail
