Patient Feedback Form Patient Feedback Form Patient Feedback form Thanks for taking a moment to help us improve the quality of our service. We value and appreciate your feedback. We are looking for progressive change in how we work and serve you better.Please take a moment to fill in this form – it greatly assists our ongoing efforts to improve your experience. There is the option to fill in your details if you wish. How was your experience in making your appointment? Excellent Very Good Good Average Below Average How satisfied were you with the way you were treated by your receptionists? Excellent Very Good Good Average Below Average How would you rate your Physiotherapist? Excellent Very Good Good Average Below Average How would you rate the experience and knowledge of your Physiotherapist with regards your condition? Excellent Very Good Good Average Below Average How would you rate your treatment and rehabilitation you received? Excellent Very Good Good Average Below Average How clean and tidy did you find the clinic? Excellent Very Good Good Average Below Average Were you consistently seen on time? Excellent Very Good Good Average Below Average How satisfied are you with the outcome of your treatment? Excellent Very Good Good Average Below Average Would you use or recommend M3 Physiotherapy Clinic again? Excellent Very Good Good Average Below Average What did you like most about M3 Physiotherapy?What could we improve on at M3 Physiotherapy?Name (or leave Anonymous)
