Calgary Lymphedema Rehabilitation Clinic

Providing premiere Lymphedema management through evidence-based practice

At CLRCS we are constantly trying to improve and enhance the services we provide to our clients. In this process, we value your feedback in letting us know what we are doing well, and where you think we can improve. We appreciate you taking the time to complete this OPTIONAL survey. Please do not hesitate to call the clinic at 209-6537, or e-mail at lymphrehab@hotmail.com, if you have any questions.

Client Satisfaction Survey
Email Address:
1. How far did you travel to receive services from CLRCS? (in kms)
2. Were appointments booked conveniently to accommodate your schedule?	Yes No

Please rate the following statements:	Poor	Fair	Good	Very Good	Excellent
3. The directions to the clinic were clear and easy to follow.
4. Clinic accessibility.
5. Clinic comfort and cleanliness.
6. Respect of your personal privacy was maintained during treatment.
7. The professionalism and courtesy demonstrated by the team.
8. The explanation of your condition, treatment, and management.
9. Your questions were clearly answered throughout assessment and treatment.
10. The availability of your therapist and team to answer questions or address concerns.
11. Quality of education and information handouts provided by the team.
12. Overall the service you received was...
13. Did the results you received from treatment at CLRCS exceed your expectations?
13b. Why or why not?