We want your feedback

We value your services and encourage you to share your feedback with us by filling out the questionnaire below.

This is an opportunity for you to help us serve you better.

If your safety or quality of care concerns have not been addressed to your satisfaction, or if you prefer to speak to management personnel, contact our HR Quality Assurance officer at 781 885-7252.

(Your feedback will go directly to the management personnel, not to the employee serving you.)

Service Satisfaction Survey

Service Satisfaction Survey

Please fill out the form below.

First
Last
First
Last
include area code
Which clinic did you receive services from? *
Which services did you receive from LAMOUR Clinic? *
Which services did you receive from LAMOUR Community Health Institute (LCHI)? *

Services / Programs

Please rate the services/program in the categories below, based on the following scale: 1 = Poor, 2 = Fair, 3 = Good, 4 = Very Good, 5 = Excellent.

Professional Staff in Program

Please rate the clinical staff in the program in the categories below, based on the following scale: 1 = Poor, 2 = Fair, 3 = Good, 4 = Very Good, 5 = Excellent.

Parent Engagement / Group Support Services

Please rate your group facilitators in the categories below, based on the following scale: 1 = Poor, 2 = Fair, 3 = Good, 4 = Very Good, 5 = Excellent.
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