Prototype · demo mode
Physiolife
De Kock, Clark, Koopman and Associates
Thank you for visiting us today

How was your experience?

Your feedback helps us care for you better. It only takes a moment.

Tap a star to rate
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That's wonderful to hear

Would you share a few words on Google? It helps other patients find us — and means a lot to our physiotherapists.

G Leave a Google review

You'll be taken to Google to post your review.

We'd like to make this right

Sorry your visit fell short. Tell us what happened — this comes straight to our practice manager, privately.

By tapping Send, you consent to Physiolife processing the feedback you choose to share — including any contact details you add — to respond to your visit and improve our care. Sharing contact details is optional. Your feedback stays private to our practice team and is handled in line with POPIA and our privacy policy.

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Thank you — we hear you

Your feedback has reached our practice manager. If you left your details, someone will be in touch soon.

This is a working prototype. Stars route the patient automatically: 4–5 to Google, 1–3 to a private form. Connect your Google review link and a notification service to go live.