Powered by E-rehab
Survey - First Physical Therapy
Reception
Strongly
Agree
Agree
Disagree
Strongly
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
Agree
Disagree
Strongly
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
Agree
Disagree
Strongly
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
Agree
Disagree
Strongly
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?
*
denotes required field
Powered by e-rehab