Customer Logo Powered by E-rehab
Survey - Chautauqua Physical & Occupational Therapy
*What percent improvement did you experience with treatment?
*How soon were you able to make your first appointment?
*The courtesy you experienced with our front office staff was?    

*Ease of scheduling?    

*The courtesy of our clinical staff was?    

*Explanation of your problem and how your therapist planned to help you?    

*Respect for my confidentiality/privacy?    


*Overall Quality of Care and Service?    

What did we do well with your care?
What could we have done better?
*At which location did you receive treatment?
*Would you use us again?    

*Would you recommend us to a friend?    

*I give my permission to use my comments    

Name (Optional)
* denotes required field
Powered by e-rehab