File No:
Quality/QA Forms/
QA-CIF-01
Page: 1 of 2
FEEDBACK QUESTIONNAIRE
The following statements relate to the various aspects of the Client Induction/Orientation Program you have just
completed. We would appreciate your opinion by circling the following comments for each statement.
CONTENT
1. The content of this program was interesting.
agree
undecided
disagree
n/a
agree
undecided
disagree
n/a
agree
undecided
disagree
n/a
agree
undecided
disagree
n/a
agree
undecided
disagree
n/a
agree
undecided
disagree
n/a
agree
undecided
disagree
n/a
undecided
disagree
n/a
agree
undecided
disagree
n/a
agree
undecided
disagree
n/a
agree
undecided
disagree
n/a
INDUCTEES NEEDS
1. This program met my needs.
agree
undecided
disagree
n/a
agree
undecided
disagree
n/a
agree
undecided
disagree
n/a
agree
undecided
disagree
n/a
agree
undecided
disagree
n/a
*n/a
not applicable
Issue No: 1
Date of Issue: 31/01/2005
Revised date: 20/12/2007
Approved by: Angela Magnan
File No:
Quality/QA Forms/
QA-CIF-01
Page: 2 of 2
FEEDBACK QUESTIONNAIRE
We would appreciate your comments for the following:
Could the Client Induction/Orientation Program have been delivered in a different manner? If
yes, please state how?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Would you like to have been provided with any other information other than that supplied? If
yes, what information would you like?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Did you have any difficulties with any of the information supplied? If yes, please list your
difficulties?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Any recommendations for future needs and requirements of the Client Induction/Orientation
Program
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________