Did the assessor clearly explain the nature and purpose of today’s assessment?*

    [group no-clearly-explain]

    Please explain:


    Did the assessor conduct himself/herself in a professional manner?*

    [group no-assessor-conduct]

    Please explain:


    Were you provided with the opportunity to present all of your concerns and respond to all questions from the assessor during the assessment?*

    [group no-opportunity-to-present]

    Please explain:


    Prior to this assessment did you receive a reminder call?*

    If transportation services were arranged to get you to and from the assessment were they on time and courteous?*

    [group no-transportation-services]

    Please explain:


    If interpreter services were used during your assessment were they effective in assisting you to communicate with the assessor?*

    [group no-interpreter-services]

    Please explain:


    Do you have any further comments regarding today’s assessment?

    Do you feel that you have had adequate information provided to you to accurately conclude your assessment opinion?*

    If you wish to be contacted by a member of management regarding any feedback you may have and/or to lay a formal complaint, please indicate “YES” and complete the following section: *

    Date of Assessment:*

    Assessor Name:*

    Your Name:

    Your Email:

    Thank you for taking the time to complete this questionnaire.

    Please submit the survey at your earliest convenience to Evolve via

    E-mail: evolve@ev.su.modevmedia.com

    Fax: 519-432-7522

    Mail: 301 - 620 Colborne Street, London, ON, N6B 3R9

    If you wish to file a formal complaint please contact us. If a response is requested, we will respond within 7 business days of receipt.