Dear Valued Client,

We would greatly appreciate receiving your feedback on your experience with our practice. This will help us to provide the best quality physiotherapy care. As part of our commitment to safe and high quality health care, we welcome feedback from clients to help us identify areas where we can improve our services to better meet your needs. Your feedback is voluntary, confidential and anonymous.

Our practice is currently undergoing accreditation by Quality in Practice (QIP). Accreditation is a voluntary process which acknowledges that a physiotherapy practice has met standards set by the Australian Physiotherapy Association. QIP Accreditation means that you are receiving physiotherapy care in a practice committed to safe, high quality health care.

* 1. How would you rate your experience with our Practice?

* 2. The level of privacy available to me was...

* 3. The information I received about treatment options for my condition was...

* 4. The information I received about my right to refuse a particular treatment was...

* 5. The information I received about my right to see the physiotherapist of my choice was....

* 6. The information I received about my rights to obtain a second opinion was...

* 7. The information I received about my right to change physiotherapist was....

* 8. The information provided to me about the practice's fees and services was...

* 9. The information I received about my right to provide feedback or make a complaint was...

* 10. Overall, the information I received about the recommended physiotherapy treatment, including any potential risks and the likely benefits of the treatment was...

* 11. The individual communication I received from the practice was...

* 12. The care provided by the practice to suit my cultural needs was...

* 13. My involvement in setting goals and making decisions for my treatment was...

* 14. The information I received about ways I can manage my own health and wellbeing was...

* 15. The information I received about the practice services, location, contact details, opening hours and out-of-hours care options was...

* 16. My ability to get a timely appointment was...

* 17. The internal practice environment and facilities were...

* 18. The external practice environment and facilities were...

* 19. The friendliness and helpfulness of our reception staff was...

* 20. The overall outcome of the health care provided by the practice for my condition was...

* 21. Do you know that we have a clinic newsletter and if so, do you read it?

* 22. Are you male or female?

* 23. What is you age group?

* 24. How long have you attended this clinic?

* 25. The physiotherapist I usually see is...

* 26. Are there any other comments you would like to make about our practice, physiotherapists and staff?

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