Physio Feedback Survey

Gather feedback from patients about their physiotherapy experience.

No credit card required

About this template

The Physio Feedback Survey is designed to collect valuable feedback from patients regarding their physiotherapy experience. This survey aims to gather insights that can help improve the quality of service and overall patient satisfaction.


  1. Overall Quality of Service - Patients are asked to rate their satisfaction level on a scale of 1 to 5. This question provides a general overview of their experience.

  2. Friendliness and Professionalism - Patients are asked to rate the friendliness and professionalism of the physiotherapist using a Likert scale. This question helps assess the interpersonal skills of the physiotherapist.

  3. Clear Explanation of Condition and Treatment Plan - Patients are asked if the physiotherapist clearly explained their condition and treatment plan. This question helps identify areas where communication can be improved.

  4. Additional Details - If patients answered ‘No’ to the previous question, they are given an opportunity to provide additional details or elaborate on their experience.

  5. Likelihood to Recommend - Patients are asked if they would recommend the physiotherapy services to others. This question helps gauge the overall satisfaction and likelihood of referrals.

  6. Additional Comments - Patients can share any additional comments or suggestions for improvement. This open-ended question allows patients to provide specific feedback.

By utilizing this Physio Feedback Survey, physiotherapy clinics and professionals can gain valuable insights to enhance the customer experience, address areas of improvement, and ultimately increase patient satisfaction.

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