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    Physiotherapist*

    Your Overall Physiotherapy and Service Experience

    1.1 Kindly rate below questions on a scale of 5 to 1,”5” being ”Excellent” and “1” being “Very Poor”

    The Front Office was courteous and polite.

    • 5

    • 4

    • 3

    • 2

    • 1

    Very GoodGoodFairPoorVery Poor

    The waiting area was comfortable and tidy.

    Very GoodGoodFairPoorVery Poor

    The treatment session happened as per scheduled time.

    Very GoodGoodFairPoorVery Poor

    Treatment area was comfortable and tidy.

    Very GoodGoodFairPoorVery Poor

    The treating Physiotherapist was skilled and knowledgeable.

    Very GoodGoodFairPoorVery Poor

    The treating Physiotherapist was courteous and polite.

    Very GoodGoodFairPoorVery Poor

    The treating Physiotherapist educated me about my problem.

    Very GoodGoodFairPoorVery Poor


    The Exercise Program/Plan was explained in detail.

    Very GoodGoodFairPoorVery Poor

    Your overall impression of the physiotherapy care you have received.

    Very GoodGoodFairPoorVery Poor

    1.2 The treatment charges were appropriate.
    yesNo

    1.3 The billing process was quick and seamless.
    YesNo

    1.4 Follow-up sessions were comfortably arrange.
    YesNo

    1.5 Our clinic operates from 8 AM to 8 PM, Monday to Saturday. What are your preferred treatment timings?
    8 am – 10 am10 am – 2 pm2 pm – 6 pm6 pm – 8 pm

    1.6 Please add any further comments/suggestions that will help us improve the care we provide.