CCSR Survey

Please fill out the below survey and submit to find out your result, results will be sent to your email for further reference.

Question
Yes
Most of the time
Maybe
Not this time
No
Q 1. Could you speak freely about your problem?
Q 2. Do you have a good relationship with this health professional?
Q 3. Did you participate in finding a solution for your problem?
Q 4. Did this visit have a significant impact on you that could influence your thoughts, actions, or behaviours in the future?
Q 5. Were you satisfied with today's consultation?
Q 6. Did the health professional understand the effect of your current problem on your life?
Q 7. Did this consultation work towards or alleviate your health problem?
Q 8. Did you value the consultation?
Q 9. Are you hopeful of getting your health problem under control?
Q 10. Would you recommend this health professional to others?
Q 11. Do you feel optimistic regarding your health problem?
Q 12. Did you agree with the suggested management for your health problem?
Q 13. Will you continue the treatment discussed today?
Q 14. Are you willing to work together with this health professional to help your health problem?
Q 15. Do you have an overall positive outlook?