Infinity Kids New Patient Survey

Name

Please rate your experience with Infinity Kids.
(1 dissatisfied — 10 wonderful)

1 2 3 4 5 6 7 8 9 10

How responsive was the administrative staff? How quickly were you able to speak to an administrator?
(1 not responsive - 10 very responsive)

1 2 3 4 5 6 7 8 9 10

Was scheduling an appointment easy to do?
(1 difficult ——- 10 easy)

1 2 3 4 5 6 7 8 9 10

Is your appointment time convenient for you?
(1 inconvenient - 10 convenient )

1 2 3 4 5 6 7 8 9 10

How well did your provider answer your questions?
(1 not well - 10 extremely well)

1 2 3 4 5 6 7 8 9 10

Overall, how would you rate the services you received at Infinity Kids?
(1 poor - 10 excellent)

1 2 3 4 5 6 7 8 9 10

How well did your provider explain follow-up care?
(1 not well - 10 extremely well )

1 2 3 4 5 6 7 8 9 10

How would you rate the quality of the facility (ie. cleanliness, equipment, supplies)?
(1 poor - 10 excellent)

1 2 3 4 5 6 7 8 9 10

Do you have any feedback for Infinity Kids

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Name

Specializing in occupational therapy, speech therapy, feeding therapy, physical therapy, and family therapy. We also offer educational classes and host children’s events in our state of the art gym.

Services Offered

Occupational Therapy
Speech Therapy
Feeding Therapy
Physical Therapy
Family Therapy

Lake Forest

22691 Lambert St. #502
Lake Forest, CA 92630

Phone

949.273.6503

Fax

949.273.6597

Anaheim Hills

160 S. Old Springs Rd. #150

Anaheim Hills, CA 92808

Phone

949.273.6503

Fax

949.273.6597

Placentia

101 S. Kraemer Blvd. #136 Placentia, CA 92870

Phone

949.273.6503

Fax

949.273.6597

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