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Client Feedback
Thank you for helping us improve the quality of our service. Please enter the treating clinician's name (if known), your rating and any further comments. You may leave the name and email address fields blank if you wish to do so.
Your First Name:
Your Last Name:
Your Email Address:
Therapists Name (if known):
*
<select>
Adam Cole (Physio)
Mark Hancock (Physio)
Kathy Mitchell (Physio)
Joanne Silver (Dietitian)
Not Sure
How likely are you to recommend a friend or colleague to Function Physio? *
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10
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 Extremely Likely
If we did
not
score a 10, can you please tell us what we could have done better...
If we did score a 10, please tell us what we did right.
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