.

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.

Secured
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.
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.
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.
7

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.
10

Any additional comments or feedback?

Please feel free to share any additional comments or feedback about your experience at the clinic.