Patient Survey

At On the Mend On the Move Physical Therapy, we are constantly focusing on ways to improve our services to our patients and referring physicians. Please take a moment to let us know how well we are doing and what we can do to improve our services by completing this short survey.

Mark the rating for each question that best indicates your feelings about your visit.
Rating Scale: 1 = Poor    2 = Fair    3 = Good    4 = Very Good    5 = Excellent

  1. Were the staff friendly and helpful on the phone with you?
     1 2 3 4 5
  2. Have all administrative staff members been courteous and helpful?
     1 2 3 4 5
  3. Were your benefits adequately explained to you?
     1 2 3 4 5
  4. Have the office and treatment areas always been clean and comfortable?
     1 2 3 4 5
  5. Did the clinic have scheduled appointments at convenient times for you?
     1 2 3 4 5
  6. Was it easy to schedule your appointments?
     1 2 3 4 5
  7. Were you always seen promptly when you arrived for treatment?
     1 2 3 4 5
  8. Was the check-in process prompt and efficient?
     1 2 3 4 5
  9. Was your therapist or therapists courteous and helpful?
     1 2 3 4 5
  10. How is your satisfaction with the services provided by your therapist or therapists?
     1 2 3 4 5
  11. Did you receive a home program and were you instructed properly in activities to improve your condition at home?
     1 2 3 4 5
  12. Would you recommend this facility to your friends or family?
     1 2 3 4 5
  13. Will you return to On the Mend On The Move Physical Therapy if future care is needed?
     1 2 3 4 5
  14. How was your overall satisfaction with your experience in therapy?
     1 2 3 4 5

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