Therapy Patient Feedback Form

A feedback form for therapy patients to provide their feedback and suggestions.

30-day risk-free trial. No credit card required.

About Therapy Patient Feedback Form

The Therapy Patient Feedback Form is designed to gather feedback and suggestions from therapy patients. By collecting patient feedback, therapists can gain valuable insights into the effectiveness of their therapy sessions and make improvements where necessary.

This feedback form includes a range of questions that cover various aspects of the therapy experience. Patients are asked to rate their overall experience, likelihood of recommending the therapy services to others, and provide feedback on the helpfulness of the sessions. The form also includes questions about the professionalism and expertise of the therapist, clarity of therapy goals, and satisfaction with the progress made.

The Therapy Patient Feedback Form can be customized to fit the specific needs of the therapy practice. Additional questions can be added or existing questions can be modified to gather more specific feedback. It is recommended to keep the form concise and easy to complete to encourage patient participation.

Therapy Patient Feedback Form Questions

  1. Overall Experience: Patients are asked to rate their overall experience with the therapy sessions using a smiley face rating scale.

  2. Likelihood of Recommending: Patients are asked to rate, on a scale of 0 to 10, how likely they are to recommend the therapy services to others.

  3. Helpful Aspects: Patients are asked to provide feedback on the aspects of the therapy sessions they found most helpful.

  4. Professionalism and Expertise: Patients are asked to rate the professionalism and expertise of their therapist using a star rating scale.

  5. Clarity of Therapy Goals: Patients are asked to indicate whether their therapy goals were clearly defined and addressed during the sessions using a thumbs-up or thumbs-down response.

  6. Satisfaction with Progress: Patients are asked to rate their satisfaction with the progress made during the therapy sessions using a Likert scale.

  7. Additional Comments: Patients have the option to provide any additional comments or suggestions for improving the therapy services.

The Therapy Patient Feedback Form aims to gather comprehensive feedback from therapy patients to enhance the quality of therapy sessions and improve patient satisfaction. By regularly collecting and analyzing patient feedback, therapists can identify areas for improvement and make informed decisions to optimize their therapy services.

Give your business a boost with TRACX®

Sign up for free and get everything you need to turn visitors into customers, and customers into super-fans — all in one platform.

  • TRACX is free forever
  • Upgrade anytime, cancel anytime
  • No coding necessary
  • Get set up in seconds
  • GDPR & CCPA-ready
  • Hosted in EU datacentres