This questionnaire is to follow up on your recent course of treatment at the Physiotherapy Clinic at the University of South Australia.
The University Physiotherapy Clinic strives to improve its service and to evaluate the quality of the service provided by the treating clinicians and the facility.
All patients attending the clinic are invited on discharge to complete the Patient Satisfaction with Physiotherapy Care Questionnaire (The MedRisk Questionnaire.
We would greatly appreciate your opinion and comments about the Clinic and your experience of the service provided. All responses are confidential and no names will be used in any evaluation summaries of the University Clinic.

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* 1. Patient's name (this is optional and you will be de-identied in any summary data)

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* 2. Which category below includes your age?

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* 3. For each question, please indicate the response that best reflects your opinion.

  strongly disagree SD disagree D neutral N agree A strongly agree SA
1. Th office receptionist is courteous.
2. The registration process is appropriate.
3. The waiting area is comfortable.
4. My therapist did not spend enough time with me.
5. My therapist thoroughly explains the treatment(s) I receive.
6. My therapist treats me respectfully.
7. My therapist does not listen to my concerns.
8. My therapist answers all my questions.
9. My therapist advises me on ways to avoid future problems.
10. My therapist gives me detailed instructions regarding my home program.
11. Overall, I am completely satisfied with the services I recieve from my therapist.
12. I would return to this office for future services or care.

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* 4. Please feel free to provide any further comments on your experience at the University Physiotherapy Clinic in the space below.

We appreciate your time in answering this questionnaire.
Should you wish to discuss this further please do not hesitate to call the University Physiotherapy Clinic (ph 8302 2541.

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