During your appointment, did you feel that you were given enough privacy? Always Often Sometimes Seldom Never ⁭ ⁭ ⁭ ⁭ ⁭ How would you rate the level of information you received regarding the of your condition? Very high above average average below average low ⁭ ⁭ ⁭ ⁭ ⁭ Would you have an increased awareness of how to be fit and healthy since attending physiotherapy? Much better better same worse much worse ⁭ ⁭ ⁭ ⁭ ⁭ Did you find the treatment areas clean and tidy (if applicable)? very moderately poor very ⁭Extremely ⁭ ⁭ ⁭ ⁭ poor Did you find physiotherapy helpful in managing your condition? very moderately poor very ⁭Extremely ⁭ ⁭ ⁭ ⁭ poor Overall how would you rate your experience of the service? above average average below average very poor ⁭Excellent ⁭ ⁭ ⁭ ⁭ Would you recommend this service to friends/ relatives if necessary? yes, always yes, sometimes maybe no never ⁭ ⁭ ⁭ ⁭ ⁭ What did you find most useful about your physiotherapy intervention? Do you have any comments or suggestions to improve our service? Please write below.
During your appointment, did you feel that you were given enough privacy? ⁭ Always ⁭ Often ⁭ Sometimes ⁭ Seldom ⁭ Never How would you rate the level of information you received regarding the of your condition? ⁭ Very high ⁭ above average ⁭ average ⁭ below average ⁭ low Would you have an increased awareness of how to be fit and healthy since attending physiotherapy? ⁭ Much better ⁭ better ⁭ same ⁭ worse ⁭ much worse Did you find the treatment areas clean and tidy (if applicable)? ⁭Extremely ⁭ very ⁭ moderately ⁭ poor ⁭ very poor Did you find physiotherapy helpful in managing your condition? ⁭Extremely ⁭ very ⁭ moderately ⁭ poor ⁭ very poor Overall how would you rate your experience of the service? ⁭Excellent ⁭ above average ⁭ average ⁭ below average ⁭ very poor Would you recommend this service to friends/ relatives if necessary? ⁭ yes, always ⁭ yes, sometimes ⁭ maybe ⁭ no ⁭ never What did you find most useful about your physiotherapy intervention? Do you have any comments or suggestions to improve our service? Please write below.
physiotherapy-service-evaluation-example-8.docx