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Client Feedback

Please complete the questions below to let us know how we are doing serving you and your needs.

Please note:  Questions with an * are required.

First Impressions Survey

Have you had Physical Therapy Treatment Before?
Yes, at our clinic
Yes, at another clinic
No
How quickly we scheduled your first visit:
Poor
Fair
Good
Very Good
Excellent
How did you hear about our clinic?
Word of mouth
Advertising
Yellow Pages
Online
Other
If Other, how did you hear about us?
Friendliness of the staff who greeted you and took care of you at your first visit:
How well your therapist clearly explained your condition and future treatment plan:
How well your insurance questions were answered:
How well your therapist explained your home exercise program: