EVALUEE SATISFACTION SURVEY EVALUEE SATISFACTION SURVEY If you have recently undergone an independent evaluation with one of SIMAC’s medical assessors, please give us your candid feedback so that we may continue to provide service excellence. Transportation provided was on time, professional and appropriate for my physical needs (if applicable). Yes No N/A The Interpretor/Chaperone was helpful and professional (if applicable). Yes No N/A The assessment facility/office was clean and appropriate for my needs (including accommodations required under Accessibility for Ontarians with Disabilities Act (AODA) if applicable). Yes No N/A The assessor clearly explained the reason for the assessment, and his/her role in the process. Yes No N/A I signed an informed consent form prior to the beginning of the assessment. Yes No N/A The staff at the assessment facility/office was helpful and professional. Yes No N/A The assessor conducted the assessment in a professional and respectful manner. Yes No N/A The assessor answered my questions in an appropriate manner. Yes No N/A Overall, I was satisfied that the assessment process was handled in a professional and respectful manner. Yes No N/A Enter Your Name: Enter Your Email: Please provide any additional comments you feel will help us improve our service.CommentsThis field is for validation purposes and should be left unchanged.