Client Satisfaction Questionnaire
Speech and Language Therapy Services
What is the Survey About?
This survey is about your experience of the
Speech and Language Therapy Service.
Completing the Questionnaire
For each question please tick one box only.
Don’t worry if you make a mistake; simply cross out the mistake and put a tick in the correct box.
YOUR PARTICIPATION IN THIS SURVEY IS VOLUNTARY
If you choose not to take part in this survey it will not affect the care you receive from the Speech and Language Therapy Department. If you do not wish to take part, or you do not want to answer some of the questions,
you do not have to give us a reason.
YOUR ANSWERS WILL BE TREATED IN CONFIDENCE
It is important that we obtain your - the service user’s views on the services we provide.
Your contribution will be invaluable in examining how we deliver our service in the future.
Please tick the age group which applies to youORthe client seen by the therapist:
0-6 years 6-18 years 18-65yrs 65+ yrs
Were you aware why you were referred to see an Speech and Language Therapist? Yes No
Was this your first involvement with aSpeech and Language Therapist?
Yes No Comment
Waiting Times
- How long were you waiting for your first appointment with an Speech and Language Therapist?
Less than2 weeks Between 2 weeks to 3 months Between 3 and 6 months
Between 6 and 9 months Between 9 and 12 months More than a year
Service Provision
- Did the Speech and Language Therapist you met explain the reasons for any treatmentor advice in a way that you could understand?
Yes, completely Yes, to some extent No
No explanation needed No treatment/action was required
3.Were you treated with respect and dignity?
Yes, all of the time Yes, some of the time No ______
4.Were you satisfied that the therapist listened to your concerns and acted on them?
Completely Satisfied Very Satisfied Somewhat Satisfied Dissatisfied Very Dissatisfied
Any Comments:-5.Did meeting/working with the Speech and Language Therapist help your situation?
Helped my situation a little Helped my situation a lot Gave some useful information
No, things remained the same Made the situation worse
6.From the first meeting with the therapist, were you happy that your needs were being actively dealt with?
Things agreed were done quickly Waiting times were explained There were some delays There were long delays I had to phone and ask about the delay/what was happening
Any Comments:7.Where did your Speech and Language Therapist meet you?
Health Centre/Clinic School At Home Other ______
- Did you find it difficult to go the Speech and Language Therapist’s clinic?
No, it is physically difficult No, I don’t have transport Yes I could attend
9.In your dealing with the Speech and Language Therapy service;
A) What was the best/most useful thing to come out of it?
I liked:-B) What would you like to see changed?
I would change:-General
10.Overall how satisfied are you with the service you received?
Extremely Satisfied Very Satisfied Somewhat Satisfied Dissatisfied Very Dissatisfied
Any other comments:Name:______(Optional)Contact Details:______(Optional)
Thank you for taking the time to complete this questionnaire.
Completed questionnaires should be posted in envelope provided or dropped back to the Speech and Language Therapy Department.