Survey

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What is your overall satisfaction with Access Physical Therapy services?

Comment or if not satisfy, Why?

How long have you been using Access Physical Therapy services?

 Less than 1 month
 1 to 6 months
 6 months to 1 year
 1 to 5 years
 More than 5 years

How satisfied are you with Access Physical Therapy services in the following areas:

   

Very satisfied

Satisfied

Neutral

Dissatisfied

Very dissatisfied

Quality

Ability to meet needs

Design and appearance

Front Desk Support

Physical Therapy Support

Compared to the alternative services available, how do you estimate Access Physical Therapy services:

 Much better
 Some what better
 About the same
 Worse
 Much worse
 Don’t know

Based on your experience, will you continue services from Access Physical Therapy in future?

 Definitely
 Probably
 Probably not
 Definitely not
 Not sure

Would you recommend Access Physical Therapy services to your friends?

 Definitely
 Probably
 Probably not
 Definitely not
 Not sure

Have you experienced any problems using Access Physical Therapy services?

 Yes, quite often
 Yes, but rarely
 No

If you did, what kind of problems?

What can Access Physical Therapy work on to improve their service?

Who was the Clinic Manager:

Which Physical Therapist/Physical Therapist Assistant was in charge of your care services:

Who was the Clinic Receptionist:

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