FCP Questionnaire Patient Satisfaction Questionnaire for FCP "*" indicates required fields Hello We would be grateful if you could please complete the Questionnaire below regarding your recent visit to the First Contact Physiotherapist (FCP). The FCP you saw is a fully qualified practitioner who had further training to work in this role in General Practice / Primary Care. Feedback from this survey will help us to highlight potential areas of improvement making your opinions Very important to us. Please answer all of the questions below, there are no right or wrong answers and the Questionnaire is completely anonymous meaning that the FCP will not be able to identify you from your responses. Thank you Please rate the FCP you visited, by clicking on the response to the questions below that you feel best meets your experience.1. How much the FCP made you feel at ease* Poor to Fair Fair Fair to Good Good Very Good Excellent Outstanding Was the FCP friendly and warm towards you, treating you with respect, not coming accross cold or abrupt.2. The amount of time the FCP gave you to tell "your" Story* Poor to Fair Fair Fair to Good Good Very Good Excellent Outstanding Did the FCP give you time to fully describe your illness in your own words, not interupting or diverting you.3. How the FCP listened to you* Poor to Fair Fair Fair to Good Good Very Good Excellent Outstanding Did the FCP pay close attention to what you were saying, not looking at notes or the computer as you were talking to them.4. The amount the FCP was interested in you as a whole person* Poor to Fair Fair Fair to Good Good Very Good Excellent Outstanding Did the FCP ask / know relevant deatils about your life, your situation; not just treating you as ‘just a number’.5. How much the FCP understood your concerns* Poor to Fair Fair Fair to Good Good Very Good Excellent Outstanding Did the FCP fully commmunicate that they had accurately understood your concerns; not overlooking or dismissing anything.6. How much the FCP showed Care & Compassion* Poor to Fair Fair Fair to Good Good Very Good Excellent Outstanding Did the FCP seem genuinely concerened, connecting you on a human level, not being indifferent or ‘detatched’.7. The amount of Positivity shown by the FCP* Poor to Fair Fair Fair to Good Good Very Good Excellent Outstanding Being Positive, did the FCP have a positive approach and attitude, being honest but not negative towards your problems.8. The clarity given by the FCP* Poor to Fair Fair Fair to Good Good Very Good Excellent Outstanding Did the FCP explain thigs clearly, fully answering your questions, explaining clearly, giving you adequate information, not being vague with any answers.9. How much the FCP Helped you take control* Poor to Fair Fair Fair to Good Good Very Good Excellent Outstanding Exploring with you what you can do to improve your health yourself, encouraging rather than ‘lecturing’ you.10. How well you feel the FCP made an action plan with you.* Poor to Fair Fair Fair to Good Good Very Good Excellent Outstanding Did they discuss the options, involving you in decisions as much as you wanted to be involved, not ignoring your views.11. Overall, How would you rate your consultation today?* Poor to Fair Fair Fair to Good Good Very Good Excellent Outstanding 12. Do you have any other comments on your Visit today, or any reccomendations for future Visits? OptionalMany thanks, for your assistance.