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* 1. What services have you accessed at Tablelands Sports & Spinal Physiotherapy? Please tick all that apply.

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* 2. When did you last access our services?

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* 3. How would you rate your overall experience with our administration and reception team? (0 being poor and 10 being outstanding)

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 4. How would you rate your overall experience with our therapists? (0 being poor and 10 being outstanding)

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 5. How would you rate the practice facilities and cleanliness?

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* 6. What can we do to make our services better?

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* 7. What other Allied Health services would you like to access at Tablelands Sports & Spinal Physiotherapy?

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* 8. Is there anything that we do, or a particular team member that you would like to mention because you thought they were particularly outstanding?

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* 9. On a scale of 0-10, how likely are you to recommend Tablelands Sports & Spinal Physiotherapy to a friend or colleague?

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* 10. Thank you so much for your feedback, we truly appreciate it. If you would like to go into the draw to win a $100 gift card to spend on products at the practice, please leave your full name and contact phone number below.

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