Online Patient Feedback

Patient Name (Optional)

Patient Email*

Was this your first visit to Shoppers World Physiotherapy?

What service(s) have you received? (Please check all that apply)*

Who was your therapist/doctor?

Please rate your level of satisfaction with our performance in the following ( 1= Strongly disagree, 5=Strongly Agree):

Receptionist was courteous and professional?

Treatment goals were explained?

Therapist/Doctor was knowledgeable about my condition?

Therapist/Doctor was courteous and professional?

Therapist/Doctor was helpful during my treatment?

Therapist/Doctor took the time to answer my questions?

Overall I am satisfied with the treatment I have received?

Would you recommend us to a friend or family member?

Do you believe that you are well informed about our services and products?

What would you like to see improved at Shoppers World Physiotherapy?

What do you like most about Shoppers World Physiotherapy?