Enrollment Consultation Survey

Enrollment Consultation Survey 3

Thank you for taking the time to complete our enrollment consultation for the Tolerance Induction Program. We greatly value your input and would like to gather feedback on your experience with our enrollment specialist and your likelihood of enrolling in the program. Your responses will help us improve our services and better meet the needs of our families.

Please take a few minutes to answer the following questions honestly and to the best of your ability.

Overall, how would you rate your enrollment consultation with the Food Allergy Institute?
How satisfied are you with the enrollment specialists ability to:
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Deliver information about the Tolerance Induction Program?
Make you feel comfortable and respected during the consultation?
Provide all the necessary information about the program during the consultation?
Effectively address your questions and concerns about the program?
How likely are you to:
Extremely Likely
Likely
Neutral
Unlikely
Extremely Unlikely
Enroll into the Tolerance Induction Program?
Recommend the program to other Food Allergy Families?
What factors influence your decision to enroll in the program? (Select all that apply)
Name
Name
First
Last