905-430-5605
Request An Appointment
Home
Services
Physiotherapy
Massage Therapy
Acupuncture
Custom Orthotics & Braces
Chiropractic Care
Products
Custom Orthotics
Custom Knee Braces
Compression Stockings
Custom Back Braces
Elbow Braces
Cervical Neck Pillows
Custom Wrist Brace
Ankle Braces
Shoulder Braces
Patient Info
First Visit
Clinical Forms
Payment Coverage
Online Patient Feedback
About Us
Contact Us
X
Request An Appointment
Online Patient Feedback
Patient Name (Optional)
Patient Email
(Required)
Was this your first visit to Sandalwood Physio?
Yes
No
What service(s) have you received? (Please check all that apply)
(Required)
Physiotherapy
Massage Therapy
Acupuncture
Orthotics
Chiropractic Care
Pelvic Health treatment
What service(s) have you received? (Please check all that apply)
(Required)
Physiotherapy
Massage Therapy
Acupuncture
Orthotics
Chiropractic Care
Pelvic Health treatment
Who was your therapist/doctor?
Please rate your level of satisfaction with our performance in the following ( 1= Strongly disagree, 5=Strongly Agree):
Receptionist was courteous and professional?
1
2
3
4
5
Treatment goals were explained?
1
2
3
4
5
Therapist/Doctor was knowledgeable about my condition?
1
2
3
4
5
Therapist/Doctor was courteous and professional?
1
2
3
4
5
Therapist/Doctor was helpful during my treatment?
1
2
3
4
5
Therapist/Doctor took the time to answer my questions?
1
2
3
4
5
Overall I am satisfied with the treatment I have received?
1
2
3
4
5
Would you recommend us to a friend or family member?
Yes
No
Do you believe that you are well informed about our services and products?
Yes
No
What would you like to see improved at Shoppers World Physiotherapy?
What do you like most about Shoppers World Physiotherapy?
Our Services
Physiotherapy
Massage Therapy
Acupuncture
Custom Orthotics & Braces
Chiropractic Care
905-430-5605
Home
Services
Physiotherapy
Massage Therapy
Acupuncture
Custom Orthotics & Braces
Chiropractic Care
Products
Custom Orthotics
Custom Knee Braces
Compression Stockings
Custom Back Braces
Elbow Braces
Cervical Neck Pillows
Custom Wrist Brace
Ankle Braces
Shoulder Braces
Patient Info
First Visit
Clinical Forms
Payment Coverage
Online Patient Feedback
About Us
Contact Us
