Foundations Physio Feedback Form Question Title * 1. What was the reason for you needing to start treatment with Foundations Physio? OK Question Title * 2. How well did your Physiotherapist listen to your needs? Extremely well Very well Somewhat well Not so well Not at all well OK Question Title * 3. How well did your Physiotherapist explain your treatment options? Extremely well Very well Somewhat well Not so well Not at all well OK Question Title * 4. Is there anything we could have done to improve your last visit? OK Question Title * 5. How long has your treatment been ongoing with Foundations Physio? Under 6 Months 6 Months - 1 Year 1 Year - 2 Years 2 Years - 3 Years 3 Years + OK Question Title * 6. How likely is it that you would recommend this company to a friend or colleague? NOT AT ALL LIKELY EXTREMELY LIKELY 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 OK Question Title * 7. How likely are you to use our service again in the future? Extremely likely Very likely Somewhat likely Not very likely Not at all likely OK Question Title * 8. Overall, how would you rate Foundations Physio? Excellent Very good Good Fair Poor OK Question Title * 9. If you could leave us a short testimonial on how Foundations Physio has impacted your health and well being, it would be much appreciated. We would love to hear your feedback. OK Question Title * 10. Do you consent to your feedback being published on our website and social media platforms? Yes No OK DONE