Dear valued customer, please could you take a minute to let us know about your experience with us.

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* 1. Please enter your name and surname here:

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* 2. At which HG Physio site did you receive your Physiotherapy treatment?

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* 3. Please rate your overall satisfaction with the Physiotherapy you received.

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* 4. Is there anything that you would like us to know about your experience?

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* 5. Would you like your Physiotherapist to contact you?

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* 6. Is there anything else that we can assist you with?

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