Patient Feedback form

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You were satisfied with your response to treatmentStrongly agreeAgreeNeither agree or disagreeDisagreeStrongly disagree

Further comments on your treatment response

Your treatment plan was clearly explained to youStrongly agreeAgreeNeither agree or disagreeDisagreeStrongly disagree

If not clear, what do you feel was missing from treatment plan

When you had questions, you were given answers you could understandStrongly agreeAgreeNeither agree or disagreeDisagreeStrongly disagree

If not clear, could explain what you felt was missing?

You would be happy to see this osteopath again?Strongly agreeAgreeNeither agree or disagreeDisagreeStrongly disagree

Further comment on what you feel may have improved your experiences

You felt your treatment offered good value for moneyStrongly agreeAgreeNeither agree or disagreeDisagreeStrongly disagree

Please feel free to add any comment or suggestions concerning the osteopath service we provide. Thank you.

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