SportsFocus PT Patient Satisfaction Survey

Our ongoing mission is to continually improve the quality of our service and the quality of your experience.

Please help us serve you better by giving us your valued feedback in this very brief survey.

Thank you.

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1. In which SportsFocus PT office were you treated?

In which SportsFocus PT office were you treated? Buffalo - City Office on Delaware Ave.

Orchard Park - Southtowns Office on California Rd.

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2. Who was your primary Physical Therapist?

Who was your primary Physical Therapist? Amy Ramey

Dave Manzella

Dee Pugliese

Paul O'Keefe

Rich Muscatello

Terry Eagan

Vic Santarelli

Other (please specify)

3. How would you rate your overall service experience with our practice?

How would you rate your overall service experience with our practice? Excellent

Good

Fair

Poor

Comment

4. How pleased were you with our service during your most recent visit?

How pleased were you with our service during your most recent visit? Very pleased

Pleased

Neither pleased nor displeased

Displeased

Comment

5. Please rate the following on a scale from 1 to 5 with 1 being Poor and 5 being Excellent:

	1 - Poor	2	3	4	5 - Excellent
Telephone demeanor of front office staff	*Please rate the following on a scale from 1 to 5 with 1 being Poor and 5 being Excellent: Telephone demeanor of front office staff 1 - Poor	Telephone demeanor of front office staff 2	Telephone demeanor of front office staff 3	Telephone demeanor of front office staff 4	Telephone demeanor of front office staff 5 - Excellent
Convenience of your appointment time	Convenience of your appointment time 1 - Poor	Convenience of your appointment time 2	Convenience of your appointment time 3	Convenience of your appointment time 4	Convenience of your appointment time 5 - Excellent
Greeting upon arrival	Greeting upon arrival 1 - Poor	Greeting upon arrival 2	Greeting upon arrival 3	Greeting upon arrival 4	Greeting upon arrival 5 - Excellent
Helpfulness of our assistants	Helpfulness of our assistants 1 - Poor	Helpfulness of our assistants 2	Helpfulness of our assistants 3	Helpfulness of our assistants 4	Helpfulness of our assistants 5 - Excellent
Sensativity and attentiveness of physical therapist	Sensativity and attentiveness of physical therapist 1 - Poor	Sensativity and attentiveness of physical therapist 2	Sensativity and attentiveness of physical therapist 3	Sensativity and attentiveness of physical therapist 4	Sensativity and attentiveness of physical therapist 5 - Excellent
Expanations provided/Questions answered	Expanations provided/Questions answered 1 - Poor	Expanations provided/Questions answered 2	Expanations provided/Questions answered 3	Expanations provided/Questions answered 4	Expanations provided/Questions answered 5 - Excellent

6. Do you feel positive enough about our practice to refer friends or family?

Do you feel positive enough about our practice to refer friends or family? Yes

7. Please comment on anything regarding our service that we might do or add to make your future experiences with us even more positive.

Please comment on anything regarding our service that we might do or add to make your future experiences with us even more positive.

8. Name (optional):

Name (optional):

THANK YOU FOR YOUR TIME!

SportsFocus PT Patient Satisfaction Survey
Exit this survey

1. Default Section

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1. In which SportsFocus PT office were you treated?

*
2. Who was your primary Physical Therapist?

3. How would you rate your overall service experience with our practice?

4. How pleased were you with our service during your most recent visit?

5. Please rate the following on a scale from 1 to 5 with 1 being Poor and 5 being Excellent:

6. Do you feel positive enough about our practice to refer friends or family?

7. Please comment on anything regarding our service that we might do or add to make your future experiences with us even more positive.

8. Name (optional):

SportsFocus PT Patient Satisfaction SurveyExit this survey

1. Default Section

*1. In which SportsFocus PT office were you treated?

*2. Who was your primary Physical Therapist?

3. How would you rate your overall service experience with our practice?

4. How pleased were you with our service during your most recent visit?

5. Please rate the following on a scale from 1 to 5 with 1 being Poor and 5 being Excellent:

6. Do you feel positive enough about our practice to refer friends or family?

7. Please comment on anything regarding our service that we might do or add to make your future experiences with us even more positive.

8. Name (optional):

SportsFocus PT Patient Satisfaction Survey
Exit this survey

*
1. In which SportsFocus PT office were you treated?

*
2. Who was your primary Physical Therapist?