Feedback Form

As a valued AktivOrthoTM Client, our aim is to consistently provide you with the best quality of care and an exceptional level of service. To this end, we would love to hear about your experience with us, and would greatly appreciate you taking the time to answer the questions below.

Name* :
Evolko ID* :
Phone/Mobile* :
E mail* :
Please rate your satisfaction with the AktivOrtho Team (where applicable) as follows:
  Very Dissatisfied Dissatisfied Satisfied Very Satisfied
The Client Services Team
Your Doctor
Your Therapist
Your Nutritionist
Your Counsellor
The Health Bar Staff
The Billing Staff
To what extent would you agree with the following statements (where applicable):
  Strongly Disagree Disagree Agree Strongly Agree
My call was handled efficiently by the Client Services Team.
The Client Services Team was helpful and courteous.
My treatment was explained to me in a clear and timely manner.
I was very satisfied with the overall level of clinical care I received.
My billing was handled in a timely and accurate manner.
I was very satisfied with the range of beverages in the Health Bar.
The centre was well maintained and appealing.
The washrooms were clean and hygienic.
And Finally:
      Yes No
Do you wish to meet our centre manager in person?    
Would you recommend AktivOrtho to your friends, family or colleagues?    
     
If you would not recommend us, please let us know the reason :
Any additional suggestions or comments about how we can improve our quality and service? :
Are there any particular members of our team that you would especially like to comment or highlight? :
     

Testimonial and Case Study Program

As our concept and practice of comprehensive rehabilitation is new to India, we would appreciate being able to share your experience with us on our website, collaterals and for media relations purposes. We would always seek your permission before using you as a reference; we can even achieve this anonymously if you so wish.

Would you agree to participate in our testimonial and case study program ? :

Yes     No

If yes, we will be in touch shortly. Thank you !

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