0523 The Lodge Complementary Therapy Questionnaire Online Forms Current User: Not Logged In
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The Lodge Complementary Therapy Questionnaire
Please take a few moments to complete this questionnaire about your therapy sessions today. Your comments would be appreciated and will help us to continually improve the service we provide.
Please tick the appropriate answer.
Client Group
Patient
Other
(Carer, Relative, Friend)
If other, please clarify
What type of therapy did you receive today? Please tick one answer.
Massage
Reflexology
Reiki
Not sure
Did you have enough information beforehand from the therapist about the
treatment you were going to have?
Yes
No
How did you find the Therapy Room?
Warm
Cold
Clean
Noisy
Pleasant
Relaxing
Other
If other, please clarify
How did you find the amount of time given for your therapy?
Just right
Too much
Not enough
How did you feel after your complementary therapy?
Relaxed
Peaceful
Calm
Emotional
Other
If other, please clarify
PTO