Patient Satisfaction Survey
Please answer the questions as candidly as possible so that we may improve to better help you and others in the future. If you have any questions regarding the survey, please feel free to ask, call, or email as we would love to help you.
* Required
Name
Optional
Your answer
Who was your main therapist?
*
Dr. David C Lower, PT
Dr. Erienne M Blanchard, PT
Dr. Daniel Ontiveros, PT
Dr. Anneliese Lane Blanton, PT
Dr. Alicia Hopkins, PT
Other:
The clinic was comfortable and clean.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
NA
I was pleased with the quality of my care.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
NA
The staff was always courteous, friendly, knowledgeable, and professional.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
NA
My initial evaluation was thorough and informative.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
NA
My treatment plan was clearly explained to me.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
NA
I was pleased with my ability to progress toward my treatment goals result of the treatment I received.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
NA
The staff was available to answer my questions and/or directed me to the most appropriate staff to answer my question.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
NA
I was able to get preferred treatment times, and informed of options when my preference coincided with other patients' choice of appointments.
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Strongly Agree
Agree
Disagree
Strongly Disagree
NA
My time spent in the waiting room was minimal.
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Strongly Agree
Agree
Disagree
Strongly Disagree
NA
The billing/insurance procedure was clearly described by the office staff.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
NA
If I need physical therapy in the future, I would return to this facility.
*
Yes
No
What suggestions or comments do you have to help us improve our services?
regarding billing, appointments, treatment, care by aides/therapists, clinic, etc.
Your answer
If your own words, please tell us how physical therapy has helped you.
Your answer
E-mail Address:
*
Your answer
Would you like to receive our newsletter?
Yes
No
If you have anything negative to convey, may we contact you to learn more and improve our patient care?
Yes
No
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Thank you for your time and feedback so that we may better our clinic!
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