Customer Satisfaction Survey Your name (optional): Please rate the timely manner in which your appointments were scheduled. PoorFairGoodExcellent Please rate the timely manner in which your telephone calls were answered. PoorFairGoodExcellent Please rate your satisfaction with the geographic availability of our offices. PoorFairGoodExcellent How would you rate your satisfaction with the compassion shown to you at Harmony? PoorFairGoodExcellent How would you rate the cleanliness of the waiting room? PoorFairGoodExcellent How would you rate the professionalism of the front office staff? PoorFairGoodExcellent How courteous was the front office staff? PoorFairGoodExcellent Ability of your counselor(s) to listen to and understand your problems. PoorFairGoodExcellent Professional knowledge and competence of the main counselor. PoorFairGoodExcellent How would you rate the quality of care received from your counselor? PoorFairGoodExcellent If applicable, please rate the quality of care you received from your prescriber. PoorFairGoodExcellent Confidentiality and respect for your rights as an individual? PoorFairGoodExcellent How would you rate the overall services at Harmony Healthcare? PoorFairGoodExcellent Degree to which the services have helped you deal more effectively with your problem. PoorFairGoodExcellent While at Harmony were all your concerns addressed? PoorFairGoodExcellent Did Harmony staff demonstrate genuine concern for you? PoorFairGoodExcellent Who is your counselor at which clinic In your own words, please explain any concerns or complaints that this survey has not addressed: Would you like a response to your concerns? YesNo Phone #: ( ) - Captcha Please enter the characters you see in this picture: Characters This helps prevent automated form submissions. If you are not sure what the characters are, make your best guess. You will have another try in the next screen.Can't see the image? Click here for an audible version in English. Need assistance with this form?