PGPQS – Practice Feedback Form

Name *

First

Last

Role *

Organisation *

How would you rate the overall experience of PGPQS? *

Excellent	Good	OK	Could have been better	Poor
ExcellentExcellent	GoodGood	OKOK	Could have been betterCould have been better	PoorPoor

What aspects of the practice sessions and the group based sessions did your practice find most beneficial? *

What aspects of the practice sessions and/or the group based sessions could be improved? *

Did PGPQS meet the objectives and/or results you were looking for? *

Yes completely	Yes to some extent	In part	Not at all
Yes completelyItem #1 Yes completely	Yes to some extentItem #1 Yes to some extent	In partItem #1 In part	Not at allItem #1 Not at all

How would you rate your experience working with the Qualitas coach? *

Excellent	Good	OK	Could have been better	Poor
ExcellentItem #1 Excellent	GoodItem #1 Good	OKItem #1 OK	Could have been betterItem #1 Could have been better	PoorItem #1 Poor

How did the support from the Qualitas coach meet or exceed your expectations? *

How could the Qualitas coach's support be improved? *

Following the work with Qualitas, do you and your team feel equipped to make further improvements in your practice? *

Yes completely	Yes to some extent	In part	Not at all
Yes completelyItem #1 Yes completely	Yes to some extentItem #1 Yes to some extent	In partItem #1 In part	Not at allItem #1 Not at all

Are there any issues that PGPQS was not able to address but you are looking to tackle in the near future? *

Would you recommend Qualitas to others? *

Yes	No
YesItem #1 Yes	NoItem #1 No

Please can you sum up the experience of working with Qualitas in one sentence *

Please can you confirm we can use your comments in marketing materials and to share with other clients *