Physical Therapy Works Patient Survey

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Thank you for taking the time to share your experience with Physical Therapy Works. We value and appreciate your opinion. Your physical therapy success story may serve as inspiration and encouragement to others who are struggling with pain and loss of mobility.

Your story...

Please share the story of what brought you to Physical Therapy Works.

Some questions to reflect on...

1. How has Physical Therapy Works' manual therapy expertise benefitted you? How has your daily life improved from the treatments provided by Physical Therapy Works?

2. Would you recommend Physical Therapy Works to a friend or relative? Why or why not?

3. What do you consider to be the most valuable aspect of your experience with us?

4. If you have had experience with other physical therapy providers, what sets us apart from them?

5. Do you have any suggestions for improving our services?

Your information...

Please share your name if you are willing. If you do not fill in your name here, your survey will remain anonymous.

Name

Address / City, State, Zip

Phone / Email

Do you consent to Physical Therapy Works' use and disclosure of the information in your survey for the purpose of patient testimonials?

If you consent, the information may be used, all or in part, in our advertising, publications, website, etc., both now and in the future. If you do not consent, your input will be kept strictly confidential.

Yes

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