Physical Therapy & Performance Center Patient Satisfaction Survey

All of us at The Cardinal Orthopaedic Institute strive to provide you with the very best orthopedic care -- this includes state-of-the-art, comprehensive therapy at our Physical Therapy & Performance Center. To serve you better, we would like your feedback on the service and care provided by our therapy team.

This is an anonymous survey.

Thank you in advance for your assistance!

1. Name of your physical therapist:

Name of your physical therapist:

2. How did you discover the Physical Therapy & Performance Center at The Cardinal Orthopaedic Institute?

How did you discover the Physical Therapy & Performance Center at The Cardinal Orthopaedic Institute? I was referred by a Cardinal Orthopaedic physician

I was referred by another physician outside the practice

Newspaper, magazine or radio advertisements

Program or Event at The Cardinal Orthopaedic Institute (ex. The Back School, Coaches' Clinic, Arthritis Foundation programs, etc.)

Other (please specify)

3. My first therapy visit was _____ days following my appointment request.

My first therapy visit was _____ days following my appointment request. 1-2 business days

3-4 business days

5-7 business days

7+ business days

4. On average, my therapy visits begin within _________ minutes of my scheduled appointment time.

On average, my therapy visits begin within _________ minutes of my scheduled appointment time. 1-5

6-10

11-15

16-20

21+

Physical Therapy & Performance Center Patient Satisfaction Survey
Exit this survey

1. Section A

1. Name of your physical therapist:

2. How did you discover the Physical Therapy & Performance Center at The Cardinal Orthopaedic Institute?

3. My first therapy visit was _____ days following my appointment request.

4. On average, my therapy visits begin within _________ minutes of my scheduled appointment time.

Physical Therapy & Performance Center Patient Satisfaction SurveyExit this survey

1. Section A

1. Name of your physical therapist:

2. How did you discover the Physical Therapy & Performance Center at The Cardinal Orthopaedic Institute?

3. My first therapy visit was _____ days following my appointment request.

4. On average, my therapy visits begin within _________ minutes of my scheduled appointment time.

Physical Therapy & Performance Center Patient Satisfaction Survey
Exit this survey