Physical Therapy Satisfaction Survey

We strive to deliver the best possible physical therapy services!

SURVIVOR-smallWe are interested in learning from our patients how we might improve or enhance our services. Please take a few minutes to complete and return this questionnaire. Any additional input is welcome at the bottom of the survey in the "comments" section. When you click "submit" your completed survey will be emailed to our practice.

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How did you learn about this facility?




Was this your first experience with physical therapy?

Was this your first experience with this facility?

Please check the location of the problem for which you received physical therapy. (Check all that apply)







Please rate your degree of satisfaction with each of the following statements. (1=strongly disagree, 2=disagree, 3=neither agree nor disagree, 4=agree, 5=strongly agree, N/A if you do not have an opinion on the question.
My privacy was respected during my physical therapy care.





My physical therapist was courteous.





All other staff members were courteous.





The clinic scheduled appointments at convenient times.





I was satisfied with the treatment provided by my physical therapist.





My first visit for physical therapy was scheduled quickly.





It was easy to schedule visits after my first treatment.





I was seen promptly when I arrived for treatment.





The location of the facility was convenient for me.





My bills are accurate.





I was satisfied with the services provided by my PT assistant(s).





Parking was available for me.





My physical therapist understood my problem or concern.





The instructions my physical therapist gave me were helpful.





I was satisfied with the overall quality of my physical therapy care.





I would recommend this facility to family or friends.





I would return to this facility if I required physical therapy care in the future.





The cost of the physical therapy treatment received was reasonable.





If I had to, I would pay for these physical therapy services myself.





Overall, I was satisfied with my experience with physical therapy.