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Survey - First Physical Therapy
Reception 
 
Strongly
Agree
AgreeDisagreeStrongly
Disagree
No
Opinion
*I was properly informed about how to be prepared for my first appointment (referral, directions, insur. card, etc.)





*I was pleased with the courtesy & knowledge of the front office staff





*My paperwork, procedures, and the handling of billing and copays were thoroughly explained to me





*My scheduling preferences were accommodated by the front office staff





Treatment (Therapist) 
 
Strongly
Agree
AgreeDisagreeStrongly
Disagree
No
Opinion
*The evaluation and treatment I received was explained in a clear and helpful manner





*My therapist listened and answered my questions and concerns





*I received individual attention from my therapist





*I received an updated Home Exercise Program on my last visit





Support Staff (Exercise Tech) 
 
Strongly
Agree
AgreeDisagreeStrongly
Disagree
No
Opinion
*The support staff was knowledgeable and professional.





*I noticed that the gym/treatment rooms were kept clean and orderly





*The aides were helpful and courteous in all aspects of my care





*The aides clearly explained my exercises, and assisted me when necessary





Outcome 
 
Strongly
Agree
AgreeDisagreeStrongly
Disagree
No
Opinion
*I am satisfied with the improvement of my condition





*I would recommend First Physical Therapy to others





*I would return to this facility if I require therapy care in the future





Comments 
What were you most satisfied with during your time at the clinic?
What can we do to make future visits to our clinic more pleasant?
 
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