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PATIENT SATISFACTION / FEEDBACK


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    YOU    
  1) Who was the treatment for?  
  2) Which Practitioner did you see?  
  3) Date and time of your appointment  
  4) Which Receptionist booked you in?  
  5) This was my first ever visit to the Living Centre Clinic Yes No 
         
         
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  2) Convenience of Clinic Hours  
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    YOUR PRACTITIONER Best - - - - - - - - - - » Worst  
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    OUR CLINIC Best - - - - - - - - - - » Worst  
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  2) What made you choose our Clinic: Tick those which apply  
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     Referral from another patient  
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     Website Information  
     Internet Search engine  
     Advert (Yellow Pages/Thomson Local etc)  
     Leaflet Drop  
  3) Cleanliness & Hygiene of our waiting room & facilities  
  4) Would you recommend our Clinic?  
         
         
    YOUR PERSONAL FEEDBACK    
   


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wimbledon osteopathy


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