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Osteopathy
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Patient Feedback form
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St Luke's Clinic:
Reception - 02 9356 0495
​Mobile - 0432 910 653
Treatment outcomes
Name
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You were satisfied with your response to treatment
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Strongly agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
Further comments on your treatment response
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Your treatment plan was clearly explained to you
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Strongly agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
If not clear, what do you feel was missing from treatment plan
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When you had questions, you were given answers you could understand
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Strongly agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
If not clear, could explain what you felt was missing?
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You would be happy to see this osteopath again?
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Strongly agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
Further comment on what you feel may have improved your experiences
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You felt your treatment offered good value for money
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Strongly agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
Please feel free to add any comment or suggestions concerning the osteopath service we provide. Thank you.
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