Is your treatment working?

Hi 👋 A few questions about your treatment at [clinic name], how it is going and what could be better. Say what is not working, that is what we can change. 

Under 2 minutes.

2. How many sessions have you had?

Select one answer

  • This was my first session
  • 2 to 5 sessions
  • 6 to 10 sessions
  • More than 10 sessions

3. What are you here for?

Select one or more answers

  • Pain relief
  • Rehabilitation after injury or surgery
  • Improved mobility or flexibility
  • Strength training
  • Posture correction

4. How would you rate the care?

Select one answer in each row

  • Poor
  • OK
  • Great

Professional

  • Poor
  • OK
  • Great

Explained the plan

  • Poor
  • OK
  • Great

Friendly staff

  • Poor
  • OK
  • Great

Listened to me

  • Poor
  • OK
  • Great

Comfortable sessions

  • Poor
  • OK
  • Great

5. How often do you do the exercises at home?

Select one answer

  • Every day
  • A few times a week
  • Now and then
  • Not at all
  • I was not given any

6. How long did you wait?

Select one answer

  • No wait at all
  • A few minutes
  • About 15 minutes
  • Half an hour or more

7. How would you rate the clinic?

Select one answer in each row

  • Poor
  • OK
  • Great

Cleanliness

  • Poor
  • OK
  • Great

Waiting area

  • Poor
  • OK
  • Great

Equipment available

  • Poor
  • OK
  • Great

Comfortable rooms

  • Poor
  • OK
  • Great

8. How did you find us?

Select one or more answers

  • Doctor or healthcare provider referral
  • Friend or family recommendation
  • Online search or website
  • Social media

9. How likely are you to recommend [clinic name]?

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

Not at all likely

Extremely likely

10. What would you change?

500

Use template

Physiotherapy Patient Satisfaction

Who it's for

Physiotherapy and rehabilitation clinics. Send it midway through a course of treatment, not at the end.

Who answers

Your patient, on a phone, in three minutes. No medical questions.

Use template

What you'll see

  • How often people actually do the home exercises, which decides the result more than the session does
  • How far through their course they are, so you can see where people drop out
  • The care and the clinic itself rated separately
  • How they found you, and how many would send someone else

How to get good answers

  • Send it after the third or fourth session. At the end you only hear from people who finished.
  • Ask about the home exercises plainly and without judgement. A question that sounds like a telling-off gets you the answer people think you want.
  • Watch the patients who say they rarely do the exercises. They are the ones who will quit halfway and blame the treatment.
  • Ask nothing about the injury or the diagnosis. Keep every question on the routine and the clinic.

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