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Patient Satisfaction Survey

Your feedback allows us to improve every day. Please fill out the survey below to help us make our practice better:

    Patient Satisfaction

    PLEASE RATE THE FOLLOWING:

    A. Your Appointment:

    Excellent

    Very Good

    Good

    Fair

    Poor

    Does Not Apply

    Ease of making appointments by phone

    Appointment available within a reasonable amount of time

    Receiving care for injury as soon as you wanted it

    Efficiency of check-in process

    Waiting time in reception area

    B. OUR FRONT DESK STAFF:

    Excellent

    Very Good

    Good

    Fair

    Poor

    Does Not Apply

    Courtesy of the person whom took your call

    Friendliness and courtesy of the receptionist

    The caring concern of our Therapist

    Helpfulness of the people whom assisted you with billing or insurance

    C. YOUR VISIT WITH THE PROVIDER:

    Excellent

    Very Good

    Good

    Fair

    Poor

    Does Not Apply

    Willingness to carefully listen

    Taking time to answer your questions

    Amount of time spent with you

    Explaining in a way easily understood

    Instructions regarding diagnosis and treatment plan

    Thoroughness of the examination

    D. OUR FACILITY:

    Excellent

    Very Good

    Good

    Fair

    Poor

    Does Not Apply

    Hours of operation convenient for you

    Overall comfort

    Cleanliness of facility

    E. YOUR OVERALL SATISFACTION WITH:

    Excellent

    Very Good

    Good

    Fair

    Poor

    Does Not Apply

    Our practice

    The quality of your medical care

    Overall rating of care from your provider

    WOULD YOU RECOMMEND THE PROVIDER TO OTHERS?