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Client Survey

Speech and Language Clients

At Northeast Hearing & Speech, we strive to maintain high standards of service and clinical excellence and are always looking for ways to improve our business. We are seeking input from parents and caregivers about the children we serve and the services we provide. Please take a few moments to complete the following information and click submit when finished.

Child’s Name
Clinician
Person completing form and relationship
1. In the last six months, my child is able to communicate more effectively with peers (e.g., uses more words/gestures/signs, uses longer sentences, uses better social skills, is more intelligible).


Comments
2. In the last six months, my child is better able to communicate his/her basic needs with adults.  


Comments
3. I am involved with my child’s treatment through:  



Comments
4. Please comment about your overall
satisfaction with services provided by Northeast Hearing & Speech:
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