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Survey - Physical Therapy First

Staff Attitude:

 
Very
Satisfied
Somewhat
Satisfied
Neither
Satisfied nor
Dissatisfied
Somewhat
Dissatisfied
Very
Dissatisfied
*Courtesy of Office Personnel





*Courtesy of therapist





*Courtesy of aide





*Concern of therapist for your well being





Professional Demeanor:

 
Very
Satisfied
Somewhat
Satisfied
Neither
Satisfied nor
Dissatisfied
Somewhat
Dissatisfied
Very
Dissatisfied
*Clinician Introduced him/herself to me personally





*The evaluation & Treatment I received was adequately explained





*Responses were provided for my questions and concerns





*Respect for my dignity and feelings were handled appropriately





*The clinician was courteous, respectful, and seemed concerned about me





Quality of Service

 
Very
Satisfied
Somewhat
Satisfied
Neither
Satisfied nor
Dissatisfied
Somewhat
Dissatisfied
Very
Dissatisfied
*My initial evaluation was scheduled within my desired time frame





*Appointments were scheduled to my connivence





*Service began promptly after I arrived





*I had trust and confidence in my clinician





*Service and attention was consistent





*My Clinician communicated with my doctor regarding my progress





Facilities

 
Very
Satisfied
Somewhat
Satisfied
Neither
Satisfied nor
Dissatisfied
Somewhat
Dissatisfied
Very
Dissatisfied
*Cleanliness of facility





*Atmosphere





*Equipment type and availability





*Parking





*Convenience of Location





Payment/Billing

 
Very
Satisfied
Somewhat
Satisfied
Neither
Satisfied nor
Dissatisfied
Somewhat
Dissatisfied
Very
Dissatisfied
*Cost of treatment





*Handling of insurance of clinic staff





*Handling of billing department





*Timeliness of accuracy of billing





Overall:

What was your overall impression of Physical Therapy First?
What could we have done to make your visit better?
What did you like most about Physical Therapy First?
What did you least like about Physical Therapy First?
Please let us know if any individual gave you outstanding attention so we may recommend that person.
Please include additional comments.
*Would you refer someone to Physical Therarpy First?    


Why or Why Not?
 
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