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Survey - Corvallis Sport and Spine Physical Therapy
*What percent improvement did you experience with treatment? Select a Value 76-100% 51-75% 25-50% No Better *How soon were you able to make your first appointment? Select a Value Same Day Within 2 days Within 1 week Within 2 weeks   Excellent Very Good Good Fair Poor Not Applicable *Courtesy you experienced with our front office staff *Ease of Scheduling *Courtesy you experienced with our clinical staff *Explanation of your problem and how your therapist planned to help you *Respect for your confidentiality/privacy *Cleanliness *Overall quality of care and service What did we do well with your care? What could we have done better? *Would you use us again?     Yes No *Would you recommend us to a friend?     Yes No *Does receiving our newsletter make you more likely or less likely to choose our services in the future? Select a Value More likely Less likely I don't receive the newsletter Front Office Staff     Excellent Very Good Good Fair Poor Not Applicable *Knowledge of answering questions *Respect for your privacy *Made you feel welcome and knew your name *Answered all your questions *Responded to concerns in a timely manner *Friendly and professional Please provide constructive criticism or ways in which our Front Office Staff "wow'd" you Billing Staff     Excellent Very Good Good Fair Poor Not Applicable *Answered your questions sufficiently *Produced accurate billing statements *Responded to concerns in a timely manner *Friendly and professional in all interactions Please provide constructive criticism or ways in which our Billing Staff "wow'd" you Physical Therapists   Please indicate who provided care Please indicate who else provided care   Excellent Very Good Good Fair Poor Not Applicable *Respected your privacy *Educated you regarding your diagnosis, treatment plan and procedures *Answered your questions *Spent adequate time to know you and not rush you and provided undivided attention on you *Provided care that significantly improved your symptoms *Provided home instructions to further my treatment progress Please provide constructive criticism or ways in which our Physical Therapists "wow'd" you Name (optional): Phone (optional): *Would you like the clinic to contact you?     Yes No   * denotes required field
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