Name (You may remain anonymous):

Email Address (If you would like us to contact you):

How long have you been attending CKSC?

What therapy does your child attend? What therapy does your child attend? Occupational Therapy Speech Therapy Allied Health Assistant (OT) Allied Health Assistant (Speech) Allied Health Assistant (Next Level) Allied Health Assistant (Nutrition)

Are you satisfied with the therapy you have received?

How would you rate the service from our admin team?

Have you been given enough opportunities to discuss your child’s therapy?

What do you like most about attending CKSC?

What could we improve?

How do you prefer to receive communications from us: How do you prefer to receive communications from us: Phone Text Email In person Facebook

Any further comments you would like to provide?

Name (You may remain anonymous):

Email Address (If you would like us to contact you):

How long have you been attending CKSC?

What therapy does your child attend? What therapy does your child attend? Occupational Therapy Speech Therapy Allied Health Assistant (OT) Allied Health Assistant (Speech) Allied Health Assistant (Next Level) Allied Health Assistant (Nutrition)

Are you satisfied with the therapy you have received?

How would you rate the service from our admin team?

Been given opportunities to discuss child’s therapy?

What do you like most about attending CKSC?

What could we improve?

How do you prefer to receive communications from us: How do you prefer to receive communications from us: Phone Text Email In person Facebook

Any further comments you would like to provide?