Allied Health Services Survey
Please share your feedback on your recent experience with our allied health services. Your responses help us improve our quality of care.
Your Full Name
First Name
Last Name
Email Address
example@example.com
Which allied health service did you use?
*
Please Select
Physiotherapy
Occupational Therapy
Speech Pathology
Dietetics
Podiatry
Other
How did you access our services?
*
In-person
Telehealth (Online/Phone)
Home visit
Please rate the following aspects of your experience:
*
Rows
Excellent
Good
Fair
Poor
Ease of booking
1
2
3
4
Professionalism of staff
5
6
7
8
Communication/Explanation
9
10
11
12
Facility cleanliness
13
14
15
16
Wait time
17
18
19
20
How satisfied are you overall with the allied health service you received?
*
1
2
3
4
5
Was your treatment plan clearly explained to you?
*
Yes
Somewhat
No
Did you feel respected and listened to by our staff?
*
Always
Most of the time
Sometimes
Never
Would you recommend our allied health services to others?
*
Yes
Maybe
No
What could we improve about our allied health services?
Additional comments or suggestions
Submit Survey
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