Colorado Hand Therapy, LLC 2010
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1. Patient Satisfaction Survey

*
1. Which clinic did you visit?

Which clinic did you visit? Aurora

Littleton

Parker

Porter

Other (please specify)

2. Which therapist did you see?

Which therapist did you see? Bobbi

Cara

Karen

Lyn

Molly

Sofija

Sue

Tiffany

Vickie

Other (please specify)

3. Please rate the following aspects of your care:

	Strongly Agree	Agree	Disagree	Strongly Disagree
Office hours are convenient.	*Please rate the following aspects of your care: Office hours are convenient. Strongly Agree	Office hours are convenient. Agree	Office hours are convenient. Disagree	Office hours are convenient. Strongly Disagree
Clinic was neat and clean.	Clinic was neat and clean. Strongly Agree	Clinic was neat and clean. Agree	Clinic was neat and clean. Disagree	Clinic was neat and clean. Strongly Disagree
Staff were helpful and courteous.	Staff were helpful and courteous. Strongly Agree	Staff were helpful and courteous. Agree	Staff were helpful and courteous. Disagree	Staff were helpful and courteous. Strongly Disagree
I was scheduled conveniently.	I was scheduled conveniently. Strongly Agree	I was scheduled conveniently. Agree	I was scheduled conveniently. Disagree	I was scheduled conveniently. Strongly Disagree
I was seen on time.	I was seen on time. Strongly Agree	I was seen on time. Agree	I was seen on time. Disagree	I was seen on time. Strongly Disagree
I received quality care.	I received quality care. Strongly Agree	I received quality care. Agree	I received quality care. Disagree	I received quality care. Strongly Disagree
I was an active participant in my therapy.	I was an active participant in my therapy. Strongly Agree	I was an active participant in my therapy. Agree	I was an active participant in my therapy. Disagree	I was an active participant in my therapy. Strongly Disagree
My expectations were met.	My expectations were met. Strongly Agree	My expectations were met. Agree	My expectations were met. Disagree	My expectations were met. Strongly Disagree
I will recomend this practice to family and friends.	I will recomend this practice to family and friends. Strongly Agree	I will recomend this practice to family and friends. Agree	I will recomend this practice to family and friends. Disagree	I will recomend this practice to family and friends. Strongly Disagree

4. Please share other comments on how we can improve our services.

Please share other comments on how we can improve our services.

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