Direct Access Physiotherapy - DAP

NMP CARE Based Patient Feedback Measure - Direct Access Physiotherapy


We aim to work to the highest professional standards; to help us deliver this level of care we
would be grateful if you would complete the following questionnaire and hand this in to
reception.


All completed questionnaires will be treated confidentially.

1 Did the Physiotherapist explain things clearly?

 
 


2 Route to Care - How were you referred into this clinic?

 
 


3 Were you happy to be seen by a physiotherapist on this occasion?

 
 


4 Did you find seeing the physiotherapist first more beneficial?

 
 


5 Was the physiotherapist able to respond and manage your query appropriately?

 
 


6 Did the Physiotherapist make a plan of action with you?

 
 

Please add any additional comments below:


Name (Optional)

Date Of Birth (Optional):

Thank you for taking the time to complete the form