Physioarts Client Satisfaction Survey

In order to provide the highest quality care, we are asking for your thoughts.  Please take a minute to let us know how we’re doing.  Thank you in advance for your time - your responses to this survey will help us serve you even better!

Please fill out the following information and press the SUBMIT button.

     
  Your age:
  Your sex:
Male
  Was this your first experience with physical therapy?
Yes
No
  (Rating Scale: 5=Very satisfied  4=Satisfied 3=Neutral 2=Dissatisfied 1=Very dissatisfied)
     
  Staff Attitude  
1. Courtesy/respectfulness of office staff
2. Courtesy/respectfulness of therapist(s)
     
  Quality of Service  
1. I was able to reach someone by phone during business hours.
2. My initial evaluation was scheduled within my preferred timeframe.
3. It was easy to schedule all of my appointments.
4. When I arrived for my session, treatment began on time.
5. My PT communicated with my doctor regarding my care.
6.

My PT gave me a home exercise program and advised me on ways toavoid future problems.
7. I had trust and confidence in my therapist.
8. Service was consistent.
     
  Professionalism  
1. The staff introduced themselves to me personally.
2. My privacy was protected during my physical therapy care.
3. Responses were provided for my questions and concerns.
4. I was involved in decision-making regarding my plan of care.
     
  Clinic  
1. Cleanliness of facility
2. Atmosphere
3. Convenience of location
     
  Other  
1. Cost of treatment
2. Explanation of billing procedures by office staff
     
  Overall  
  What was your overall impression of PhysioArts?
     
  What could we have done to make your visits better?
  If any individual gave you outstanding service, please let us know so we can congratulate that person.  Also, if you wish to share any constructive criticism, let us know, and we will seek appropriate solutions.
  Would you refer someone to PhysioArts? 
  5. Why or why not?
     
  Thank you again for your time!  
     
  The following is optional:  
  Name:
  Company:
  Address:
  City:
  State:
  Zip:
  Telephone:
  Email: