Rehab Continuum of Care (RCOE)  
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Where did you receive RCOE therapy? (Type in facility name) *
What is your age? *
Did you receive physical therapy? *
How would you rate your physical therapy services?
Poor
Excellent
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Did you receive occupational therapy? *
How would you rate your occupational therapy services?
Poor
Excellent
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Did you receive speech therapy? *
How would you rate your speech therapy services?
Poor
Excellent
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Did you benefit from therapy? *
What could we do to improve therapy services?
How would you rate your nursing care? *
Poor
Excellent
What could we do to improve nursing services?
Check off all boxes that describe how you benefited from RCOE therapy
Would you to refer a friend, neighbor, or family member for RCOE therapy?
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