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Physiotherapy Alliance Customer Satisfaction Survey
1
What is your overall satisfaction level with Physiotherapy Alliance?
Very Satisfied
Somewhat Satisfied
Neither Satisfied Nor Dissatisfied
Somewhat Dissatisfied
Very Dissatisfied
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2
Were you satisfied that your questions were answered clearly?
Very Satisfied
Somewhat Satisfied
Neither Satisfied Nor Dissatisfied
Somewhat Dissatisfied
Very Dissatisfied
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3
Were you satisfied that the skill level of our staff met or exceeded your expectations?
Very Satisfied
Somewhat Satisfied
Neither Satisfied Nor Dissatisfied
Somewhat Dissatisfied
Very Dissatisfied
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4
How satisfied were you with the courtesy of staff?
Very Satisfied
Somewhat Satisfied
Neither Satisfied Nor Dissatisfied
Somewhat Dissatisfied
Very Dissatisfied
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5
Were you satisfied with staff availability?
Very Satisfied
Somewhat Satisfied
Neither Satisfied Nor Dissatisfied
Somewhat Dissatisfied
Very Dissatisfied
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6
How satisfied were you with the professionalism of staff at Physiotherapy Alliance?
Very Satisfied
Somewhat Satisfied
Neither Satisfied Nor Dissatisfied
Somewhat Dissatisfied
Very Dissatisfied
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7
How satisfied were you with inter-staff communication regarding your treatment?
Very Satisfied
Somewhat Satisfied
Neither Satisfied Nor Dissatisfied
Somewhat Dissatisfied
Very Dissatisfied
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8
Would you return for further treatment at Physiotherapy Alliance?
Yes
Maybe
No
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9
Would you recommend Physiotherapy Alliance to family and friends?
Yes
Maybe
No
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10
Do you have any suggestions to improve your overall experience with us?
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11
Would you like to be contacted by a representative of Physiotherapy Alliance to discuss your comments further?
Yes
No
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12
Name
First Name
Last Name
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13
Phone Number
Area Code
Phone Number
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14
Email
example@example.com
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