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Feedback survey for rural physiotherapy clinic in Kerala, India
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
How satisfied are you with the overall quality of service?
Please rate the quality of service on a scale of 1 to 5, with 1 being very dissatisfied and 5 being very satisfied.
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2
How would you rate the cleanliness of the clinic?
Please rate the cleanliness of the clinic on a scale of 1 to 5, with 1 being very unclean and 5 being very clean.
3
What improvements would you suggest for the clinic?
Please provide your suggestions for improvements. Your feedback is valuable to us.
4
How likely are you to recommend our clinic to others?
Please indicate how likely you are to recommend our clinic to others on a scale of 1 to 5, with 1 being very unlikely and 5 being very likely.
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5
Rate the effectiveness of the treatment you received.
Please rate the effectiveness of the treatment on a scale of 1 to 5, with 1 being very ineffective and 5 being very effective.
6
How satisfied are you with the communication of the staff?
Please rate the communication of the staff on a scale of 1 to 5, with 1 being very dissatisfied and 5 being very satisfied.
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Did you face any challenges during your treatment? If yes, please specify.
Please share if you faced any challenges during your treatment. Your feedback will help us address any issues.
8
How comfortable were the clinic facilities?
Please rate the comfort of the clinic facilities on a scale of 1 to 5, with 1 being very uncomfortable and 5 being very comfortable.
9
How would you rate the professionalism of the staff?
Please rate the professionalism of the staff on a scale of 1 to 5, with 1 being very unprofessional and 5 being very professional.
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Any additional comments or feedback?
Please feel free to share any additional comments or feedback about your experience at the clinic.
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