Robin Kiashek - Patient Survey
Patient's name (optional)
Your answer
Robin Kiashek would like to thank you in advance for your time. We'll start with your initial contact with Robin.
How did you first hear of Robin? *
Your answer
When choosing an Osteopath, what were the key things you were looking for? *
Your answer
Why did you choose Robin rather than another Osteopath? *
Your answer
Any further comments?
Your answer
Please rate each area of service to the best of your ability on a scale of 1-10, with 10 being 'Excellent' and 1 'Poor'. Answering these questions will really help us to understand what we do really well and what we can improve.
How easy was it to make your initial contact with Robin Kiashek? *
Very difficult
Very easy
How easy it was to make or change your appointment? *
Very difficult
Very easy
Your experience of Robin’s answering service *
Poor
Excellent
Practice opening hours *
Poor
Excellent
How easy was it to find the clinic? *
Very difficult
Very easy
Entrance of the practice *
Poor
Excellent
Welcome by the receptionist at Linen Hall
Poor
Excellent
Practice waiting room *
Poor
Excellent
Cleanliness and tidiness of the practice *
Very dirty
Very clean
Patient toilet *
Poor
Excellent
Overall impression of practice *
Poor
Excellent
Any further comments?
Your answer
Thank you. Now moving on to your consultation and treatments:
Did you find the duration of the initial consultation and subsequent treatment/s to be *
Was there anything in particular you would have liked to have had more time for? *
Your answer
What (if anything) did not meet your expectations? *
Your answer
What (if anything) exceeded your expectations? *
Your answer
If you could change anything about your consultation or subsequent treatment, what would it be? *
Your answer
What have you found to be most helpful in your time with Robin? *
Your answer
What has been the most beneficial tool, skill or lesson that Robin has shared with you? *
Your answer
Would you refer someone to Robin? *
If you just answered "yes" or "maybe", please share three words that you would use to describe Robin or his work that may encourage someone to seek Robin’s services *
Your answer
Any further comments?
Your answer
In the following questions, please rate your overall experience with Robin:
Robin acted professionally *
Robin had a positive attitude and approach *
I felt safe talking about my health issues with Robin *
Robin made me feel at ease *
Robin really listened to what I had to say *
Robin showed genuine care and compassion towards me *
Robin was interested in me as a person *
Robin helped me to understand my condition and explained things clearly *
Robin helped to make a plan of action with me *
The concerns that brought me to see Robin have improved as a result of the services provided *
My quality of life has improved since seeking Robin's help *
As a result of Robin's help, I was able to make positive changes in my life *
Any further comments?
Your answer
Many thanks for taking the survey. Is there anything else that you would like to tell me?
Your answer
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