* 1. How did you hear about STAR Physical Therapy?

* 2. On a scale from 1 to 5, with 5 being excellent and 1 being poor, how would you rate: The time between your call to schedule an appointment and your appointment date? Did we fit you in fast enough?

* 3. On a scale from 1 to 5, with 5 being excellent and 1 being poor, how would you rate: The professionalism and helpfulness of your receptionist. Was the receptionist polite? Were your questions answered?

* 4. On a scale from 1 to 5, with 5 being excellent and 1 being poor, how would you rate: Your wait time in the office?

* 5. Tell us about your therapist

* 6. On a scale from 1 to 5, with 5 being excellent and 1 being poor, how would you rate: His or her explanation of procedures, diagnoses, or treatment regimen?

* 7. On a scale from 1 to 5, with 5 being excellent and 1 being poor, how would you rate: If you have visited our practice before, were you satisfied with your treatment outcome?

* 8. On a scale from 1 to 5, with 5 being excellent and 1 being poor, how would you rate: Would you recommend STAR Physical Therapy to friends and other family members?

* 9. Comments:

* 10. Please initial if you agree to let us use your comments on our website at starphysicaltherapyaustin.com. Thank you for taking the time to complete our survey! It will help us serve you better. 

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