The Sports Injury Clinic: Customer Care Feedback Form

customer care feedback questionnaire

Thank you for taking the time to fill in this feedback form. At The Sports Injury Clinic we strive to make your entire experience and health management a positive one.

1. Was your appointment easy to make?

2. If you were placed on hold on the telephone at any time while making your appointment how long did you have to wait to be attended to?

3. Did you find the 'On hold information' informative?

4. Were you promptly greeted upon entering the clinic?

5a. Was your practitioner: On time?

5b. Was your practitioner: Professional?

5c. Did your practitioner: Give you clear instructions on your injury & treatment plan (verbal or written)?

5d. Did your practitioner: Leave you feeling informed and confident about your rehabilitation

5e. Your practitioner name/service (e.g. physio, massage) * optional

6. Were the methods of payment convenient for you?

7a. Were administration staff: Polite

7b. Were administration staff: Informative

7c. Were administration staff: Cheerful

8. Were the staff able to answer all questions in relation to our services and prices?