Customer Satisfaction Survey
Please fill out the survey below if you have been a patient of Midtown Physiotherapy and Hand Therapy and would like to give us feedback about our service.
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What is your name? (Optional)
I attended:
Overall how satisfied or dissatisfied are you with Midtown Physiotherapy and Hand Therapy?
Very dissatisfied
Very satisfied
Clear selection
Which of the following words would you use to describe our services? Please select all that apply.
How well do our services meet your needs?
Not at all well
Extremely well
Clear selection
How would you rate the quality of our services?
Very low quality
Very high quality
Clear selection
How responsive was your therapist to your questions or concerns about your condition?
Not at all responsive
Extremely responsive
Clear selection
How would you rate the value for money of our services?
Poor
Excellent
Clear selection
My privacy was respected during my care.
Clear selection
My individual and cultural beliefs were respected during my care.
Clear selection
How long have you been a customer of Midtown Physiotherapy and Hand Therapy?
Clear selection
How likely is it you would recommend Midtown Physiotherapy and Hand Therapy to a friend or colleague ?
Not at all likely
Extremely likely
Clear selection
Do you have any other comments, questions or concerns?
Submit
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This form was created inside of Midtown Physio.