Thank you for choosing Center for Physical Therapy as your physcal therapy provider. We truly value yo as a patient and would like to continue to provide outstanding service to your EVERY VISIT! You honest feedback is appreciated. Please help us to exceed your expectations by filling out this brief survey. Thank you for your time.

Name of your Referring Physician:

Courtesy of office personnel

Courtesy of clinical staff

Phone etiquette of front office staff

The evaluation and treatment I recieved was explained in a clear and helpful manner

The aides were helpful and courteous in all aspects of my care

Helpful responses were provided for my questions and concerns

My initial evaluation was scheduled within 24-48 hours or within my desired time frame

Appointments were scheduled to my convenience

When I arrived for my appointment the service began promptly

I recieved enough individual attention from my therapist

My clinician communicated with my doctor regarding my therapy process

Please rate the improvement in your condition due to physical therapy

Cleanliness of facility

Atmosphere

Equipment type and availability

Parking

Paperwork and procedures were explained in a clear and helpful manner

Handling of billing and co-pays

What is your overall impression of the Center for Physical Therpay

What could we have done to make your visit better

Would you refer someone to the Center for Physical Therapy?

Would you recommend that your physician refer patients to the Center for Physical Therapy?

Can we share your comments as testimonials or with your referring physician?

Name (first name, last name) (required)

Contact e-mail

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