Patient Satisfaction Survey
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1.
*
1
. Who referred you to Elite Physical Therapy/How did you hear about us?
Who referred you to Elite Physical Therapy/How did you hear about us?
Doctor
Friend/Family Member
Website
Newspaper Advertisement
Postcard
I've been here before and had a good experience
Other
*
2
. Are you completely satisfied with the overall care and service provided by your Physical Therapist and our office?
Are you completely satisfied with the overall care and service provided by your Physical Therapist and our office?
Yes
No
*
3
. Would you consider our office for any future services, and refer others to us?
Would you consider our office for any future services, and refer others to us?
Yes
No
*
4
. What could we improve on?
What could we improve on?
*
5
. Do you feel that our treatment helped you meet your goals?
Do you feel that our treatment helped you meet your goals?
Yes
No
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