Customer Service Survey

Rosanna Traditional Chinese Medicine Centre (RTCM) provides Traditional Chinese Medicine and other holistic services. Our practical expertise focuses as much on the solutions treatment as it does on the prevention of illness to deliver improved health and wellbeing.

We are always looking for ways to improve how we serve our valued clients. Please help us to improve our services by completing this online survey (5-10 minutes) and clicking Send. Alternatively you can print this form for completing offline and return via post, fax or in person to:

Rosanna Traditional Chinese Medicine Centre
78 Lower Plenty Road
Rosanna VIC 3084
Fax (03) 9440 6413

Privacy

Please note your answers are strictly confidential and will only be used by RTCM management to help improve the services of our clinic. We will never sell or distribute in any way your information to any third parties.

Consultation Details

Your name (optional)

Your email address (optional)

Type of service provided

Date / Time of service

Receptionist who arranged the service

Practitioner who provided the service

Reception

Was your original enquiry for assistance from reception attended to promptly?
Yes
No

Did you find reception to be professional and polite in answering your enquiry?
Yes
No

How satisfied are you with the assistance provided with your enquiry?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied

Could you tell us why you are satisfied / dissatisfied with the response?

HealthCare Practitioner

How satisfied were you with the services provided by the practitioner with your health issues?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Not Applicable

Could you tell us why you are satisfied / dissatisfied with the services of the practitioner?

Did you feel the practitioner listened to your concerns and addressed them adequately?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Not Applicable

How would you rate the practitioner’s knowledge and delivery skills?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Not Applicable

Other Related Matters

List what you believe to be the most impressive areas of your treatment.

List and explain what you believe to be any areas of the treatment / clinic that could be improved.

Do you have any further comments regarding the level of service you received from our practitioner or the handling of your initial enquiry?

Is there any other assistance we could give you in the area of Traditional Chinese Medicine?

Are you likely to refer a friend or family member to the RTCM Centre?
Extremely Likely
Very Likely
Somewhat Likely
Slightly Likely
Not Likely

Newsletters

Do you receive the RTCM Newsletters in your email inbox?
Yes
No

If not, would you like us to start sending RTCM Newsletters to the email address provided above?
Yes
No

Have you ever read any of the RTCM Newsletters?
Yes
No

If yes, how informative have you found the RTCM Newsletters to be?
Extremely Informative
Very Informative
Somewhat Informative
Slightly Informative
Not Informative

Is there any information or sections you would like to see in future RTCM Newsletters?

Website

Have you ever visited the RTCM Website?
Yes
No

If yes, how easily did you find navigating the RTCM Website?
Extremely Easy
Very Easy
Somewhat Easy
Slightly Easy
Not Easy

Is there any information or sections you would like to see on the RTCM Website?