Copy of Parkway Physiotherapy Clinic April 2010 Survey

1. How long did it take you to get to the clinic?

How long did it take you to get to the clinic? Under 5 minutes 5-10 minutes	10-15 minutes 15-20 minutes	20-25 minutes 25+ minutes
How did you get here? (e.g. Bus)

2. How did you hear about the clinic?

How did you hear about the clinic?

3. How was your contact with the clinic?

	Excellent	Very Good	Quite	Somewhat	Must have been a busy day
Was the staff courteous and helpful?	*How was your contact with the clinic? Was the staff courteous and helpful? Excellent	Was the staff courteous and helpful? Very Good	Was the staff courteous and helpful? Quite	Was the staff courteous and helpful? Somewhat	Was the staff courteous and helpful? Must have been a busy day
Was it easy to find the clinic?	Was it easy to find the clinic? Excellent	Was it easy to find the clinic? Very Good	Was it easy to find the clinic? Quite	Was it easy to find the clinic? Somewhat	Was it easy to find the clinic? Must have been a busy day
Do you have a better understanding of your injury?	Do you have a better understanding of your injury? Excellent	Do you have a better understanding of your injury? Very Good	Do you have a better understanding of your injury? Quite	Do you have a better understanding of your injury? Somewhat	Do you have a better understanding of your injury? Must have been a busy day
Was your treatment plan explained adequately?	Was your treatment plan explained adequately? Excellent	Was your treatment plan explained adequately? Very Good	Was your treatment plan explained adequately? Quite	Was your treatment plan explained adequately? Somewhat	Was your treatment plan explained adequately? Must have been a busy day
Did you find your therapist easy to talk to?	Did you find your therapist easy to talk to? Excellent	Did you find your therapist easy to talk to? Very Good	Did you find your therapist easy to talk to? Quite	Did you find your therapist easy to talk to? Somewhat	Did you find your therapist easy to talk to? Must have been a busy day
Was your overall experience satisfactory?	Was your overall experience satisfactory? Excellent	Was your overall experience satisfactory? Very Good	Was your overall experience satisfactory? Quite	Was your overall experience satisfactory? Somewhat	Was your overall experience satisfactory? Must have been a busy day

4. How did you find the environment

	Excellent	Good	Somewhat	No
Did you find the clinic welcoming?	*How did you find the environment Did you find the clinic welcoming? Excellent	Did you find the clinic welcoming? Good	Did you find the clinic welcoming? Somewhat	Did you find the clinic welcoming? No
Was the clinic clean?	Was the clinic clean? Excellent	Was the clinic clean? Good	Was the clinic clean? Somewhat	Was the clinic clean? No
Was the clinic temperature comfortable for you?	Was the clinic temperature comfortable for you? Excellent	Was the clinic temperature comfortable for you? Good	Was the clinic temperature comfortable for you? Somewhat	Was the clinic temperature comfortable for you? No

Comments

5. What service(s) have we provided for you?

What service(s) have we provided for you? Physiotherapy Registered Massage Therapy Kinesiology Naturopathic Medicine	Prolotherapy IMS(Intramuscular Stimulation) Acupuncture Ultrasound for fractures	Pilates Yoga Personal Training
What other services are you interested in?

6. Do you receive our bimonthly newsletter?
(If unsure please add info@parkwayphysiotherapy.ca to your safe list so that messages are not deleted or filtered as spam)

Do you receive our bimonthly newsletter? (If unsure please add info@parkwayphysiotherapy.ca to your safe list so that messages are not deleted or filtered as spam) Yes

7. What have you enjoyed most and least about the newsletter?

What have you enjoyed most and least about the newsletter?

8. Do you have any specific ideas that might improve the value of our newsletter?

Do you have any specific ideas that might improve the value of our newsletter?

9. How could we make your experience better?

How could we make your experience better?

Copy of Parkway Physiotherapy Clinic April 2010
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Copy of Parkway Physiotherapy Clinic April 2010
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