Patient Feedback Survey

Contact Us
Monday to Friday: 7am to 9 pm
Saturday: 8am to 12am
Mobile: 07740402323
Landline: 02892612907

Feedback



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.


Your Name (optional)

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

Were you given an appointment at a time that was convenient to you?

 Yes No

How clean and tidy did you find the clinic?

 Excellent Very Good Good Average Below Average

Were you consistently seen on time?

 Yes No

How satisfied are you with the outcome of your treatment?

 Excellent Very Good Good Average Below Average

Would you use Moira Physiotherapy & Sports Injury Clinic again?

 Yes, definitely and I would recommend it to others Maybe No, definitely not

What did you like most about Moira Physiotherapy & Sports Injury Clinic?

Overall rating of quality of care (1 worst, 10 best)

 1 2 3 4 5 6 7 8 9 10

Overall rating of value for money

 1 2 3 4 5 6 7 8 9 10

Overall rating of our premises

 1 2 3 4 5 6 7 8 9 10

Overall rating of our clinic

 1 2 3 4 5 6 7 8 9 10

If you have visited a clinic similar to ours, how would you rate our clinic in comparison?

 Moira Physiotherapy was better On a par with the other clinic Not as good Not applicable

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