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Physiotherapy Assessment Feedback Form

We hope you have found our physiotherapy session enjoyable and beneficial.  We appreciate your comments and feedback on the services we offer and it helps us to shape the service for the future.

Above all we are passionate about improving the independence of the children that we work with and we value that you have chosen us to help your child achieve their full potential – THANK YOU!

    Physiotherapy Feedback Survey

    Thank you for taking the time to share your experience. Your feedback helps us improve and secure funding for future sessions.

    2) Do you feel the physiotherapist addressed the problem you had identified?

    3) Did you find the physiotherapist communicated well with you and with your child?

    4) Do feel your child worked well with the physiotherapist?

    5) Do you feel the physiotherapist answered your questions?

    6) Was the email advice/exercise programme helpful and clear?

    7) Overall Satisfaction

    1 = Very Unsatisfied, 5 = Extremely Satisfied


    9) If we secured further funding, would you be interested in attending or recommending us?

    Child's Age Group:

    Testimonial Permission

    Can we use your feedback anonymously on our website or social media?

    Case Study & Contact

    This form is anonymous, but if you are happy to be a Case Study, please leave your details:


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