| We wish to thank you for allowing us to provide services to meet your rehabilitative needs. We know you and your doctor have a choice as to where you receive your therapy and we appreciate your confidence and trust in choosing us. We take our job seriously and want to make sure that all of our patients receive the best service possible.
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| Your comments will help us to continue to improve the quality of our services. Therefore, we would like to ask you to take a few moments to complete this survey and return it in the stamped envelope provided. Please feel free to add any additional comments on the bottom or back of this survey. If you have any questions or need help, please ask your therapist to assist you, or you may contact us here at our coprorate offices (see bottom left corner). Thank you. |
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| The convenience of the hours that I was treated |
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| The explanation given to me about the evaluation process as well as the results of the evaluation was |
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| The amount of input I had in setting the goals for my therapy was |
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| The explanation of my therapy diagnosis and the prognosis for return of my functional abilities, in a way I could understand was |
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| My therapist's explanation of waht was being done during my treatment sessions was |
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| The instructions and demonstration of the home program I received from my therapist was |
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| The improvements I made because of therapy I received were |
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| My therapist's level of professionalism and courteous behavior was |
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| The space and equipment provided in this clinic was |
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| The cleanliness and comfort of this clinic was |
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The overall level of satisfaction I have with the therapy I recieved is
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