Client Feedback

Your Full Name

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Please rate your overall experience at HCRC.
1 very poor2 below expectation/fair3 average/met my expectations4 above average/good5 excellent/exceeded my expectations

Please rate the support staff (administration and assistants)
1 very poor2 below expectation/fair3 average/met my expectations4 above average/good5 excellent/exceeded my expectations

Were they polite and friendly?
1 very poor2 below expectation/fair3 average/met my expectations4 above average/good5 excellent/exceeded my expectations

Were they knowledgeable and helpful?
1 very poor2 below expectation/fair3 average/met my expectations4 above average/good5 excellent/exceeded my expectations

Please rate your Physiotherapist
1 very poor2 below expectation/fair3 average/met my expectations4 above average/good5 excellent/exceeded my expectations

Was your therapist polite and friendly?
1 very poor2 below expectation/fair3 average/met my expectations4 above average/good5 excellent/exceeded my expectations

Was your therapist knowledgeable and skilled?
1 very poor2 below expectation/fair3 average/met my expectations4 above average/good5 excellent/exceeded my expectations

Did your therapist help you to resolve/address your problem?
1 very poor2 below expectation/fair3 average/met my expectations4 above average/good5 excellent/exceeded my expectations

Would you recommended HCRC to a friend? We strive to be a fantastic clinic and hope your answer is a yes.
YesNo

If your answer is no, please provide feedback below so that we can improve our services.

(Feedback for improvement) What can we do in the future to be better?

How did you hear about us?
Please let us know how did you heard about us. By letting us know how did you find us - you help us invest our marketing $$ in the right marketing platform.

Where you referred by someone?
YesNo
If so, please list their name:

Or did you hear about us via?
Google SearchOur Facebook PageFamily or FriendNewspaper AdOther
If other, please list:

For Security Please Answer 6+3+0=?

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