We at CFA value our patient opinions and suggestions and we strive for excellence. We use this evaluation form along with other tools to continuously improve our service and help us meet our clients needs. Please take a moment to fill this form.
are you a patient of the Centre? yes no
how did you learn about the centre?
if you have been to the clinic how would you rate the following?
if you have been to the centre how would you rate the following?
did you receive enough information about your treatment? were you given enough information about options, risks and alternatives? yes no
if you answer 'no', what would you have liked to see?
if you answer 'no', what would you have liked to see? yes no
how would you rate your overall experience at the center?
would you recommend this facility to your family or friends? yes no
other suggestions
optional information
telephone number