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So we can keep improving we want to know your views of our service.
Your responses are confidential and anonymous - Your opinion will contribute to the development of the service we offer.
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Please tick your response to the following statements:
Name the facility you attended.
When booking appointments I was offered choices
Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree
My privacy and dignity were always respected
Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree
I felt the department took my needs into consideration
Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree
I was made aware that my consent is required before my personal information can be shared
Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree
I know how to make a complaint about the service
Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree
The physiotherapy facility was clean
Strongly Agree
Agree
Not Sure
Disagree
Strongly disagree
Information: a) I was given clear information about my problem
Strongly Agree
Agree
Not Sure
Disagree
Strongly disagree
Information: b) I was given clear information about my treatment
Strongly Agree
Agree
Not Sure
Disagree
Strongly disagree
Treatment: a) I achieved what I wanted through my treatment
Strongly Agree
Agree
Not Sure
Disagree
Strongly disagree
Treatment: b) My overall experience using this service was good
Strongly Agree
Agree
Not Sure
Disagree
Strongly disagree
Treatment: c) I was fully involved in all decisions about my care
Strongly Agree
Agree
Not Sure
Disagree
Strongly disagree
Are there other ways that we could improve the service provided to you?
Submit
THANK YOU FOR TAKING THE TIME TO COMPLETE THE FORM