Exit this survey Physical Therapy Survey OrthoCincy Physical Therapy continuously strive to provide optimum care to our patients. In order to achieve this goal and to better serve our patients, your completion of the questionnaire is greatly appreciated. This information will help to improve our service. Question Title * 1. Location of visit: 560 South Loop Road, Edgewood 525 Alexandria Pike, Southgate 8726 US 42, Florence Question Title * 2. Therapist Seen: Katie and Chelsea Brandon and Shannon Samantha and Alex Andy and Jen Kelly and Bryan Jackie and Brad Suzie and Kristen Jared and Caitlin Kendra and Ben Josh and Shkirra Steve and Amber Sara and Ben Cassie and Ellen Logan and Annie Jill Jolie Andrea . . . . . . . . . . . . . Question Title * 3. How were you greeted by our front desk staff? Warmly Indifferently Rudely Comment Question Title * 4. Is our reception area comfortable? Yes No Comment Question Title * 5. Were you informed of your insurance benefits regarding physical therapy? Yes No Comment Question Title * 6. Do we answer the phone promptly? Yes No Comment Question Title * 7. Amount of time waiting from your scheduled appointment time to being called back to see the Physical Therapist? Resonable amount of time Longer than expected Comment Question Title * 8. Did the Physical Therapist/Physical Therapist Assistant spend an adequate amount of time with you? Yes No Other (please specify) Question Title * 9. Please rate your satisfaction level regarding the explanation that you received about your condition and treatment from the following individuals: Did not meet expectations Met Expectations Exceeded Expectations N/A Physical Therapist Physical Therapist Did not meet expectations Physical Therapist Met Expectations Physical Therapist Exceeded Expectations Physical Therapist N/A Physical Therapy Assistant Physical Therapy Assistant Did not meet expectations Physical Therapy Assistant Met Expectations Physical Therapy Assistant Exceeded Expectations Physical Therapy Assistant N/A Comment Question Title * 10. Were you given the tools needed to continue therapy at home? Yes No Comment Question Title * 11. Was the atmosphere created by our clinic and staff enjoyable? Yes No Comment Question Title * 12. Are our office hours convenient? Yes No If NO, what hours would be helpful? Question Title * 13. How would you rate your overall experience with OrthoCincy Physical Therapy? Did not meet expections Met expectations Exceed Expectations Other (please specify) Question Title * 14. Would you recommend OrthoCincy Physical Therapy to your family and friends? Yes No Comment Question Title * 15. Please provide any additional comments that you would like to share: Question Title * 16. Name (optional): Question Title * 17. May we contact you? Yes No If yes, please enter contact information Done
