Patient Satisfaction Survey
-- Section One --
1: Not Likely2345: Possibly678910: Definitely
How do the following statements reflect on your experience at PHYSIOSOUTH:
-- Section Two --
Strongly DisagreeDisagreeNeither Agree or DisagreeAgreeStrongly Agree
Strongly DisagreeDisagreeNeither Agree or DisagreeAgreeStrongly Agree
Strongly DisagreeDisagreeNeither Agree or DisagreeAgreeStrongly Agree
-- Section Three --
PoorFairGoodVery GoodExcellentN/A
(being friendly and warm towards you, treating you with respect; not cold or abrupt)
PoorFairGoodVery GoodExcellentN/A
(giving the time to fully describe your injury in your own words; not interrupting or disturbing you)
PoorFairGoodVery GoodExcellentN/A
(asking/knowing relevant details about your life, your situation, not treating you as just a number)
PoorFairGoodVery GoodExcellentN/A
(communicating that he/she accurately understood your concerns; not overlooking or dismissing anything)
PoorFairGoodVery GoodExcellentN/A
(seemingly genuinely concerned, connecting with you on a human level; not being indifferent or detached)
PoorFairGoodVery GoodExcellentN/A
(having a positive approach and a positive attitude; being honest but not negative about your problem)
PoorFairGoodVery GoodExcellentN/A
(fully answering your questions, giving adequate information; not being vague)
PoorFairGoodVery GoodExcellentN/A
(exploring with you what you can do to improve your health yourself; Encouraging rather than “lecturing’ you)
PoorFairGoodVery GoodExcellentN/A
(discussing the options, involving you in decisions as much as you want to be involved; not ignoring your views)
-- Section Four --
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