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  Hoys Physiotherapy - Feedback

Thank you for using Hoys Physiotherapy
Your feedback is important to us.
We request you to please take time to complete our questionnaire below

Feedback Form - *mandatory fields

Date:
Name:
Phone:
Email:
Did you find it easy to locate us?
Yes No
If No - Why?:
Were you satisfied with the service provided by the Reception Staff?
Very Satisfied Satisfied Fairly Satisfied Dissatisfied Very Dissatisfied
Comment:
Were you able to get an appointment at a time that was convenient to you?
Very Convenient Convenient Somewhat Convenient Not Convenient
Comment:
How satisfied were you with the service you received from the therapist?
Very Satisfied Satisfied Fairly Satisfied Dissatisfied Very Dissatisfied
Comment:
Did you find the waiting room and treatment room clean, tidy and comfortable?
Excellent Very Good Good Average Poor
Comment:
Would you recommend Hoys Physiotherapy to other people?
Yes No
Could you suggest one way in which we could improve your experience at Hoys Physiotherapy?
Any other comments/suggestions?
Security: *
 
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