First Contact Physiotherapist – Patient Satisfaction Survey First Contact Physiotherapist – Patient Satisfaction Questionnaire Booking an appointment How did you get an appointment with the FCP? GP Referral Receptionist Referral Self-referral OtherOther Was it easy for you to book an appointment with the FCP? * Yes No Please share any further comments: Were the appointment times offered convenient? * Yes No Were you offered an appointment without waiting too long? * Yes No How long did you have to wait for an appointment? Were you aware that you were not seeing a GP at this appointment? * Yes No What would you have done if you were unable to see the FCP this time? * Seen a GP Attended a walk-in centre Seen a private physiotherapist Attend A&E Do not know OtherOther Consultation Date of your FCP appointment: Were you confident in the knowledge and skills of your FCP? * Yes No Did they listen and explain everything to you? * Yes No Did the information you receive answer all your questions? * Yes No Did the FCP consultation meet your expectations? * Yes No Were you involved and informed in decisions about your care? * Yes No Do you understand about your condition(s) and what happens now? * Yes No Were you treated with dignity and respect throughout? * Yes No Did you have enough time for all your needs to be met? * Yes No Do you feel you need to have a GP consultation for the same issue? * Yes No OtherOther Overall satisfaction Would you recommend our FCP service to your family or friends? * Yes No How satisfied were you? * Very satisfied Satisfied Neither satisfied or unsatisfied Unsatisfied Very Unsatisfied If you had another muscle or joint problem, who would you prefer to see? * GP FCP Do not mind After today’s consultation do you feel you still need to book a GP consultation for the same issue? * Yes No Is there anything that you felt could improve our FCP service? If you are human, leave this field blank. Submit