Quality of life integrated health & research centers logo
Quality of life integrated health & research centers logo

Quality of Life Integrated Health and Research Centers Satisfaction Survey

Introduction: We value your feedback and want to understand your experience at our
behavioral health and research center. Your responses will help us improve our
services. Please answer the questions below honestly.

To fill out anonymously:

Download the survey as a fillable PDF.

Email to kim @ qlmc.com,

Send Via Mail or drop off in person to our office

Quality of Life Integrated Health Center

Attention Kim Moon

6390 E Broadway Blvd, Tucson, AZ 85710

Or use our online form for convenience and faster response

    Patient Name:
    DOB
    Your Email:


    How would you rate your overall satisfaction with the services you received at our center?

    Comments:

    How likely are you to recommend our center to a friend or family member?

    Comments:


    How would you rate the professionalism and courtesy of our staff?

    Comments:

    How responsive were our staff to your needs and concerns?

    Comments:


    How would you rate the effectiveness of your treatment goals?

    Comments:

    Were your treatment goals and progress regularly discussed with you?

    Comments:


    How would you rate the ease of scheduling appointments?

    Comments:

    How would you rate the waiting time?

    Comments:


    Is there anything we could improve on or any additional comments you’d like to share about your experience at our center?