Patient Feedback
Your feedback is important to us, could you please take a moment to complete.
The practitioner I saw was:
Jennie
Kathryn
Stephen
Jane
Kim
Rudo
Sara
Anthony
The service that was performed was.. (select all that apply)
General Treatment (Nails, Corns, Callous)
Ingrown Toe Nail
Nail Surgery
Plantar Wart
Heel/Forefoot pain
Diabetic assessment
Orthotics
Pelvic assessment
How satisfied were you with dealing with our reception staff?
Very Satisfied
Satisfied
Not Satisfied
How satisfied were you with the treatment provided?
Very Satisfied
Satisfied
Not Satisfied
What aspects of the treatment did you find satisfactory? (select all that apply)
Consultation Length
Education given
Treatment options provided
Practioner’s manner
What did you like about your experience at our practice?
What can we improve on?
Would you return to our clinic for another appointment?
Yes
No
If you selected no. Why?
Would you recommend our clinic to others (friends/family) for treatment?
Definitely
Neutral
Definitely Not
Overall, how satisfied with your experience were you?
Very Satisfied
Neutral
Satisfied
Not Satisfied
Thank You
We're looking forward to seeing you at your next appointment.
If you're on facebook, don't forget to like us! Blacktown Podiatry
If you're on facebook, don't forget to like us! Blacktown Podiatry