Alternative/Complementarily Therapies Questionnaire
I am a student at The University of Huddersfield and would really appreciate it if you could take ten minutes of your time to just fill out this Questionnaire and email it back to me with your responses. Thank you.
Please tick the boxes that apply to you answer like so:
If this is an electronic Questionnaire that you are filling in and can not tick the boxes then an underline, circle or change of font colour is also acceptable as long as your answer is clear.
Age
0-18☐ 19-30☐ 31-45☐ 46-55☐ 56-65☐ 66+☐
Gender
Male ☐ Female☐
1. What therapy (or therapies) are you currently undergoing or have you tried in the past?
2. Was or is there any equipment used throughout your therapy? (For example beds, massage aids, yoga mats)
Yes ☐
No ☐
Sometimes ☐
If yes please state what equipment is used
3. How would you rate the equipment (In terms of it enhancing your therapy experience)
Excellent ☐
Good ☐
Not Sure ☐
Sometimes Good Sometimes Bad ☐
Completely not needed ☐
4. Is there anything that could be improved about the equipment that is currently being used?
5. Is there any equipment that is not currently being used that you believe would benefit your treatment?
Thank you for taking the time to fill out this questionnaire.
It is very much appreciated.
I am a student at The University of Huddersfield and would really appreciate it if you could take ten minutes of your time to just fill out this Questionnaire and email it back to me with your responses. Thank you.
Please tick the boxes that apply to you answer like so:
If this is an electronic Questionnaire that you are filling in and can not tick the boxes then an underline, circle or change of font colour is also acceptable as long as your answer is clear.
Age
0-18☐ 19-30☐ 31-45☐ 46-55☐ 56-65☐ 66+☐
Gender
Male ☐ Female☐
1. What therapy (or therapies) are you currently undergoing or have you tried in the past?
2. Was or is there any equipment used throughout your therapy? (For example beds, massage aids, yoga mats)
Yes ☐
No ☐
Sometimes ☐
If yes please state what equipment is used
3. How would you rate the equipment (In terms of it enhancing your therapy experience)
Excellent ☐
Good ☐
Not Sure ☐
Sometimes Good Sometimes Bad ☐
Completely not needed ☐
4. Is there anything that could be improved about the equipment that is currently being used?
5. Is there any equipment that is not currently being used that you believe would benefit your treatment?
Thank you for taking the time to fill out this questionnaire.
It is very much appreciated.