Movement Solutions Physiotherapy Patient Satisfaction Survey

Question Title

* 1. Please enter the name of your Physiotherapist (optional)

Question Title

* 2. How would you rate the courtesy and helpfulness of the front desk reception staff?

Extremely helpful

Very helpful

Somewhat helpful

Not so helpful

Not at all helpful

Question Title

* 3. How would you rate your comfort and overall experience of our patient waiting area?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

Question Title

* 4. How would you rate your comfort and overall experience of our patient treatment rooms?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

Question Title

* 5. How sensitive was your Physiotherapist towards your specific issues and concerns?

Far above average

Above average

Average

Below average

Far below average

Question Title

* 6. Did the assessment/treatment you received meet your expectations?

Exceeded expectations

Met expectations

Below expectations

Question Title

* 7. How effective have you found your physiotherapy treatment(s)?

Extremely effective

Very effective

Somewhat effective

Not so effective

Not at all effective

Question Title

* 8. How likely is it that you would recommend Movement Solutions Physiotherapy to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

0

1

2

3

4

5

6

7

8

9

10

0

1

2

3

4

5

6

7

8

9

10

Question Title

* 9. Do you have any other comments, questions, or suggestions about your experience at Movement Solutions? If so, please leave them below. In addition, if you have any concerns and want to discuss them further, please leave us your contact information (phone or email) and the owner of the clinic (Blair Purvis) will get back to you as soon as he can.