Feedback Name First Last Email Would you recommend our services to a friend/family? Please give a score on a scale of 0 to 10 (0 = definitely would not recommend, 10 = highly likely to recommend)012345678910What are the 3 major reasons you choose to use us and not another health provider?1. 2. 3. If you could improve 3 things about us, what would they be, and how would you change them?1. 2. 3. Did you feel that the physiotherapist managed to address the problem?Strongly disagreeDisagreeNeutralAgreeStrongly agreeDid your physiotherapist communicate clearly and had discussed the assessment findings, diagnosis and treatment plan with you?Strongly disagreeDisagreeNeutralAgreeStrongly agreeWas the treatment area clean and tidy?Strongly disagreeDisagreeNeutralAgreeStrongly agreeDid the reception staff make you feel welcome and were helpful with assisting you?Strongly disagreeDisagreeNeutralAgreeStrongly agreeIs there something that annoys you about dealing with other health providers? And if the answer is Yes please explain what it is.What is your main concern when choosing a health practitioner?Could you please give a comment about the standard of services you received during your last visit or visits in the past.Do you give your permission for us to use your comment above together with your first name only for promotional use (please select Yes or No answer below).YesNoAre there any other services or programmes that you would like us to offer?What was the name of your treating physiotherapist?CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms. Leave a Reply Cancel reply Save my name, email, and website in this browser for the next time I comment.