Survey : Southeastern Physical Therapy

Patient Satisfaction Survey

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Treatment Location

Months of Treatment

Referring Physician

Because we strive to deliver the best possible physical therapy services, we are interested in learning from patients how we might improve or enhance our services. Please take a few minutes to circle the number that best represents your impression. Thank you for your feedback!

Facility

The facility was clean.

Parking was available for me.

The location of the facility was convenient.

Reception

The staff was courteous and professional.

The clinic scheduled appointments at convenient times.

My first visit for physical therapy was scheduled quickly.

Therapist

My physical therapist was courteous and professional.

My physical therapist understood my problems or condition.

My privacy was respected during my physical therapy care.

The instructions my physical therapist gave me were helpful.

I was satisfied with the treatment provided by my physical therapist.

I was satisfied with the communication to me and my physician.

Therapy Aide/Tech

My physical therapy tech was courteous and professional.

I was satisfied with the services provided by my physical therapist tech(s).

Overall Satisfaction with Service

I was satisfied with the overall quality of my physical therapy care.

I was seen promptly when I arrived for treatment.

I would return to this facility if I needed physical therapy again.

I would recommend this facility to family or friends.

Percentage that best describes your improvement since therapy.

Southeastern Physical Therapy ________________ my expectations.

How did you learn about Southeastern Physical Therapy

Comments / Suggestions: Please feel free to leave reviews online as well.

Therapist(s)

Aide(s)

If you would like management to contact you about your experience please list your name and contact number.

Name

Phone Number

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