About this resource
Client feedback helps practitioners improve. This form asks whether goals were addressed, explanations were clear, the client was involved in decisions, home programs were useful and the overall experience was positive, with space for comments.
Purpose
To gather feedback on the aspects of allied health care that matter most to clients.
Who it is for
Primary profession: Allied health and multidisciplinary teams. Also relevant for occupational therapists, speech pathologists, psychologists.
Client or participant group: Clients and families using allied health services.
Practice setting: Allied health clinics, community health and private practice.
Suggested uses
- End of an episode of care
- Regular service feedback
- Quality improvement
- Practitioner reflection
Instructions for practitioners
- Offer at the end of an episode of care.
- Allow anonymous return.
- Review feedback as a team.
- Share changes made.
Instructions for clients or participants
- Circle a face for each question.
- Add comments.
Accessibility considerations
Plain language and faces. Can be completed verbally or with an interpreter.
Scope and limitations
A feedback template. It does not replace your complaints process.
Research basis
Human rights frameworks and research on the dignity of risk support people's right to make their own choices, including choices that involve some risk. A strong working alliance and routine progress feedback are among the most consistent predictors of good outcomes in therapy.
- Flückiger, C., Del Re, A. C., Wampold, B. E., & Horvath, A. O. (2018). The alliance in adult psychotherapy: A meta-analytic synthesis. Psychotherapy, 55(4), 316–340. https://doi.org/10.1037/pst0000172
- Ibrahim, J. E., & Davis, M. (2013). Impediments to applying the ‘dignity of risk’ principle in residential aged care services. Australasian Journal on Ageing, 32(3), 188–193. https://doi.org/10.1111/ajag.12014
- Lambert, M. J., Whipple, J. L., & Kleinstäuber, M. (2018). Collecting and delivering progress feedback: A meta-analysis of routine outcome monitoring. Psychotherapy, 55(4), 520–537. https://doi.org/10.1037/pst0000167
- United Nations. (2006). Convention on the Rights of Persons with Disabilities. https://www.ohchr.org/en/instruments-mechanisms/instruments/convention-rights-persons-disabilities
What is included
A 2-page printable A4 PDF, including a practitioner notes page with the research basis (version 1.0).
Originality
Original Practitioner Plus content: wording, activity structure, layout and icons were created for this resource. No third-party worksheets, illustrations or text were reproduced.
