BodyCare Survey

At Bodycare clinic we aim to offer the best possible care and service to our patients. Please spend a few minutes to help us help you even more.
Thank you.

1. How did you find out about BodyCare Clinic?

How did you find out about BodyCare Clinic? GP referral.

Insurance referral

Internet

K2 Member.

Leaflet advertising.

Newspaper Advertising

Personal recommendation.

Yell.com.

Other (please specify)

2. How do you rate your initial contact?

	Excellent	Very good	Good	Average	Poor	Very poor.
Answering of phone	*How do you rate your initial contact? Answering of phone Excellent	Answering of phone Very good	Answering of phone Good	Answering of phone Average	Answering of phone Poor	Answering of phone Very poor.
Friendliness of staff	Friendliness of staff Excellent	Friendliness of staff Very good	Friendliness of staff Good	Friendliness of staff Average	Friendliness of staff Poor	Friendliness of staff Very poor.
Helpfulness of staff	Helpfulness of staff Excellent	Helpfulness of staff Very good	Helpfulness of staff Good	Helpfulness of staff Average	Helpfulness of staff Poor	Helpfulness of staff Very poor.
Knowledge of staff	Knowledge of staff Excellent	Knowledge of staff Very good	Knowledge of staff Good	Knowledge of staff Average	Knowledge of staff Poor	Knowledge of staff Very poor.

Do you have any specific comments?

3. How do you rate Bodycare facilities at K2

	Excellent	Very Good	Good	Average	Poor	Very poor
K2 in general	*How do you rate Bodycare facilities at K2 K2 in general Excellent	K2 in general Very Good	K2 in general Good	K2 in general Average	K2 in general Poor	K2 in general Very poor
Reception	Reception Excellent	Reception Very Good	Reception Good	Reception Average	Reception Poor	Reception Very poor
Treatment room	Treatment room Excellent	Treatment room Very Good	Treatment room Good	Treatment room Average	Treatment room Poor	Treatment room Very poor
Waiting area	Waiting area Excellent	Waiting area Very Good	Waiting area Good	Waiting area Average	Waiting area Poor	Waiting area Very poor

What changes would you like to see?(optional)

4. How did you find your treatment?

	Excellent	Very Good	Good	Average	poor	Very poor
Explanation of you problem.	*How did you find your treatment? Explanation of you problem. Excellent	Explanation of you problem. Very Good	Explanation of you problem. Good	Explanation of you problem. Average	Explanation of you problem. poor	Explanation of you problem. Very poor
Treatment it self	Treatment it self Excellent	Treatment it self Very Good	Treatment it self Good	Treatment it self Average	Treatment it self poor	Treatment it self Very poor
Was it effective	Was it effective Excellent	Was it effective Very Good	Was it effective Good	Was it effective Average	Was it effective poor	Was it effective Very poor
Your Osteopath	Your Osteopath Excellent	Your Osteopath Very Good	Your Osteopath Good	Your Osteopath Average	Your Osteopath poor	Your Osteopath Very poor

any other comments

5. Would you recommend family and friends to the clinic?

	Plesae tick one box
Yes, I already have	*Would you recommend family and friends to the clinic? Yes, I already have Plesae tick one box
Yes, But not yet	Yes, But not yet Plesae tick one box
No.	No. Plesae tick one box
Unsure	Unsure Plesae tick one box

Please elaborate (optional)

6. Did you know we also treat?

	YES	NO	I would like to know more
Animals- mostly Dogs, Cats and Horses.	*Did you know we also treat? Animals- mostly Dogs, Cats and Horses. YES	Animals- mostly Dogs, Cats and Horses. NO	Animals- mostly Dogs, Cats and Horses. I would like to know more
Arthritis	Arthritis YES	Arthritis NO	Arthritis I would like to know more
Babies And children	Babies And children YES	Babies And children NO	Babies And children I would like to know more
Injuries at work	Injuries at work YES	Injuries at work NO	Injuries at work I would like to know more
pregnant women	pregnant women YES	pregnant women NO	pregnant women I would like to know more
Rehab after an operation.	Rehab after an operation. YES	Rehab after an operation. NO	Rehab after an operation. I would like to know more
Scar Tissue	Scar Tissue YES	Scar Tissue NO	Scar Tissue I would like to know more
Sports injuries.	Sports injuries. YES	Sports injuries. NO	Sports injuries. I would like to know more

Email for information (optional)

7. What do you think of our website?

	Excellent	Very Good	Good Average	Poor	Very Poor
Clinic info.	*What do you think of our website? Clinic info. Excellent	Clinic info. Very Good	Clinic info. Good Average	Clinic info. Poor	Clinic info. Very Poor
Ease of use	Ease of use Excellent	Ease of use Very Good	Ease of use Good Average	Ease of use Poor	Ease of use Very Poor
Help and advice	Help and advice Excellent	Help and advice Very Good	Help and advice Good Average	Help and advice Poor	Help and advice Very Poor
information about Osteopathy.	information about Osteopathy. Excellent	information about Osteopathy. Very Good	information about Osteopathy. Good Average	information about Osteopathy. Poor	information about Osteopathy. Very Poor
Specific Clinic’s	Specific Clinic’s Excellent	Specific Clinic’s Very Good	Specific Clinic’s Good Average	Specific Clinic’s Poor	Specific Clinic’s Very Poor

What else would you like to see, or do you have any constructive comments?

8. Did you know Bodycare Clinic offers a range of products

	Yes, I have purchased	Yes, but I have not purchased	No, But I am interested	No, I am not interested
Joint and health supplements	*Did you know Bodycare Clinic offers a range of products Joint and health supplements Yes, I have purchased	Joint and health supplements Yes, but I have not purchased	Joint and health supplements No, But I am interested	Joint and health supplements No, I am not interested
Orthopedic pillows	Orthopedic pillows Yes, I have purchased	Orthopedic pillows Yes, but I have not purchased	Orthopedic pillows No, But I am interested	Orthopedic pillows No, I am not interested
Biofreeze pain relieving gel	Biofreeze pain relieving gel Yes, I have purchased	Biofreeze pain relieving gel Yes, but I have not purchased	Biofreeze pain relieving gel No, But I am interested	Biofreeze pain relieving gel No, I am not interested
Joint Supports	Joint Supports Yes, I have purchased	Joint Supports Yes, but I have not purchased	Joint Supports No, But I am interested	Joint Supports No, I am not interested

Would you like us to provide other services or products?

9. Which of the following age range do you fit into?
Are you male or female

	<18	19-35	35-50	50-75	75+	Rather not say
Male	*Which of the following age range do you fit into? Are you male or female Male <18	Male 19-35	Male 35-50	Male 50-75	Male 75+	Male Rather not say
female	female <18	female 19-35	female 35-50	female 50-75	female 75+	female Rather not say

10. Please tell us how you think we could improve our service.

Please tell us how you think we could improve our service.

BodyCare Survey
Exit this survey

1. Bodycare clinic Survey v 10.1

1. How did you find out about BodyCare Clinic?

2. How do you rate your initial contact?

3. How do you rate Bodycare facilities at K2

4. How did you find your treatment?

5. Would you recommend family and friends to the clinic?

6. Did you know we also treat?

7. What do you think of our website?

8. Did you know Bodycare Clinic offers a range of products

9. Which of the following age range do you fit into?
Are you male or female

10. Please tell us how you think we could improve our service.

BodyCare SurveyExit this survey

1. Bodycare clinic Survey v 10.1

1. How did you find out about BodyCare Clinic?

2. How do you rate your initial contact?

3. How do you rate Bodycare facilities at K2

4. How did you find your treatment?

5. Would you recommend family and friends to the clinic?

6. Did you know we also treat?

7. What do you think of our website?

8. Did you know Bodycare Clinic offers a range of products

9. Which of the following age range do you fit into? Are you male or female

10. Please tell us how you think we could improve our service.

BodyCare Survey
Exit this survey

9. Which of the following age range do you fit into?
Are you male or female