Client Survey

Restore Physiotherapy and Pilates is committed to providing you with a high quality and professional health care service. To continue to improve your experience as a Restore client, we would appreciate your feedback on what we do well and what we could do better.

Thank you for your time.

ABOUT YOUR VISITS

1. When did you first attend Restore Physiotherapy and Pilates?

Last 3 monthsLast 6 monthsLast 12 months1-5 years ago5 + years ago

2. When did you last attend Restore Physiotherapy and Pilates?

Last 3 monthsLast 6 monthsLast 12 months1-5 years ago5 + years ago

3. How many times have you attended Restore Physiotherapy and Pilates?

OnceTwice2-10 visits10+ visits

4. What service do you primarily use at Restore Physiotherapy and Pilates?

Physiotherapy onlyPilates onlyPhysiotherapy and PilatesWomen’s and Men’s Health PhysiotherapyAll of the above

If you attend for Physiotherapy or Women’s and Men’s Health Physiotherapy services, please complete this section.

PHYSIOTHERAPY

1. What motivates you to seek treatment at Restore Physiotherapy and Pilates (can choose more than one response)?

2. Are you currently receiving treatment?

YesNoN/A

3. If you have stopped treatment. Why? (Can choose more than one response):

4. Were you able to access an appointment with one of our physiotherapists in a timely manner (time and day that suited)?

YesNoN/A

5. What is your preferred times to seek treatment?

6. How would you rate the quality of your physiotherapy experience under the following categories?

a. Personable and friendly

b. Confidence in physiotherapist’s skills

c. Ability to diagnose and treat your condition

d. Ability to implement and communicate an appropriate management plan

e. Resolve your problem

If you attend for Pilates, please complete this section.

PILATES:

1. What motivates or has motivated you to attend Pilates at Restore Physiotherapy and Pilates (Can choose more than one response)?

Manage/recover from injury/condition/surgeryPregnancyPost pregnancyFitness and health benefitsSocialisingOther. (Comment below)

2. If you are currently still attending Pilates classes:

a. How often do you attend?

b. How long have you been coming?

3. What are your preferred class times?

4. How easy is it for you to attend a class at a time suitable for you?

5. What factors are important to your Pilates experience (Can choose more than one response)?

Physiotherapist supervisedCostFriendly staffQuality equipmentQuality studio and spaceMy program is appropriately progressedHelps my problem

6. Is it important to you that Pilates sessions are supervised by a physiotherapist?

7. How much do value your Pilates reviews?

8. If you have stopped coming to Pilates. What was your reason?

RECEPTION

How would you rate our reception staff on the factors below?

1. Friendly

ExcellentGoodAveragePoor

2. Professional

ExcellentGoodAveragePoor

3. Explanation of fees, billing and paperwork

ExcellentGoodAveragePoor

4. Timely attention to your needs

ExcellentGoodAveragePoor

5. Overall quality of reception and administration staff

ExcellentGoodAveragePoor

6Comments:

THE BUSINESS

1. Which of the following (if any) services would you use if they were provided by Restore Physiotherapy and Pilates (Can choose more than one response)?

Massage therapy/MyotherapyDietician/NutritionistSports medicine doctorPsychologistRealtime Ultrasound (facilitate pelvic floor/core muscle contraction)Other. (Comment below)

2. Would you recommend Restore Physiotherapy and Pilates to family and friends?

YesNo

3. If you have any other comments or thoughts regarding Restore Physiotherapy and Pilates, feel free to make a comment below:

Thank you very much for completing this survey. Your feedback is valuable to our business as we aim to provide you the highest quality physiotherapy management and customer service.